On April 7, 2000, the Centers for Medicare and Medicaid Services (CMS) (then named the Healthcare Financing Administration) issued requirements for provider-based departments and entities as part of the final rule that implemented the Prospective Payment System for Outpatient Hospital Services (OPPS). From the payment perspective, “provider based” means the entity is considered part of the hospital and services furnished within that entity may be billed as “hospital services.” Historically, this meant the provider-based unit could appear on the hospital’s cost report and receive an allocation of the hospital’s overhead costs. Wound care and hyperbaric medicine are examples of the types of services that are commonly found in a provider-based setting.
Many of the principle guidelines for appropriately preparing healthcare staff for the opening of a new wound clinic from an education perspective are more true today than ever before. However, with a changing healthcare climate that includes increasing competition and decreasing reimbursement, the “must have” knowledge list for practitioners has expanded and the need to have the most comprehensive competency baseline within the clinic is imperative if it’s going to provide the best care possible for patients while ensuring that compensation for care is acquired.
Chronic wounds affect millions of people, yet awareness of the epidemic is extremely limited. As wound care professionals, it is our responsibility to be stewards of the chronic wound epidemic by educating our physicians and communities to help get more patients the care they need and deserve. To effectively raise awareness, we must not only help potential referring physicians understand the advantages of advanced wound care, but teach them how to identify patients who would benefit from advanced treatment. This article will establish the fundamental processes, tools, and resources needed to successfully market the outpatient wound care center.
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