Coalition of Wound Care Manufacturers

Comments

Items Related to LCD

September 30, 2022

Letter to Guidewell Urging Withdrawal of Novitas & FCSO's LCDs on DFU/VLU

The Coalition sent a letter to Guidewell Source, the parent company of Medicare Administrative Contractors Novitas and First Coat Service Options, requesting that the two MACs withdraw their proposed Local Coverage Determinations (LCDs) Skin Substitutes for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers (DL35041 and DL36377) and Local Coverage Articles (LCAs): Billing and Coding: Skin Substitutes for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers (DA54117 and DA57680). The Coalition informed Guidewell that many of the provisions in the policies are  contrary to clinical practice guidelines and research, and in several instances are in conflict with the very evidence cited in the draft policies. The Coalition also urged Guidewell to intervene because the draft LCDs and LCAs violate several statutory provisions – which is problematic given the negative impact to patient care and access.
See the Coalition's letter
July 14, 2017

Request letter and appendix to DMEMACs to delay future surgical dressing LCD (L33831)

The Coalition submitted a letter to the DMEMAC medical directors requesting a delay of future surgical dressing LCD (L33831). The Coalition cited the LCD’s flaws in coverage criteria, in violation of current Medicare requirements and congressional intent outlined in the 21st Century Cures Act as significant flaws in the policy. Furthermore, the Coalition states in its comments that proposals in the LCD would eliminate coverage for hydrogel dressings used for stage II ulcers. The LCD includes other coverage restrictions that lack sufficient evidence to support them or that conflict with established standards of care as well.  Finally, the Coalition noted that the LCD does not provide any explanation for prohibiting the use of composite dressings to treat lightly exudative wounds, which also rubs contrary to the standard of care.
Letter Appendix
June 22, 2017

Comments to Wisconsin Physician Services (WPS) addressing its draft LCD on Wound Care (DL37228)

The Coalition submitted comments to WPS on wound care draft LCD (DL37228). The comments focus on the arbitrary utilization parameters WPS set for Negative Pressure Wound Therapy (NPWT), stating that parameters do not even necessarily need to be set at all. Furthermore, the Coalition comments that WPS lacks transparency in their decision-making process, and that they should include stakeholder input when crafting their regulations.
View Coalition Comment
March 9, 2017

Comments to First Coast Service Option draft LCD on wound care

The Coalition submitted comments to FCSO on wound care draft LCD (DL37166). The comments focus on the lack of coverage for disposable Negative Pressure Wound Therapy (dNPWT), stressing inaccuracies with CPT coding descriptors and a lack of sufficient evidence to claim that the dNPWT is neither reasonable nor necessary. The Coalition comments that that FCSO should cover dNPWT, providing reasons based on evidence and congressional intent. 
View Coalition Comment
March 9, 2017

Comments to Novitas draft LCD on wound care

The Coalition submitted comments to Novitas on draft wound care LCD (DL35125). The comments focus on the lack of coverage for disposable Negative Pressure Wound Therapy (dNPWT), the arbitrary and unnecessary utilization parameters for NPWT, and the lack of transparency in decision-making process for changing the LCD.  The Coalition cites evidence that anchors its argument in place. 
View Coalition Comment
February 16, 2017

Testimony at FCSO at public meeting on draft wound care LCD

The Coalition provided oral testimony at the FSCO public meeting on February 16 on wound care draft LCD (DL37166). Comments focused on disposable negative pressure wound therapy (dNPWT), concerning utilization parameters and incorrect information contained in the draft LCD.
View Coalition Comment
January 26, 2017

Testimony to Novitas at open meeting to collect comments on its draft LCD on wound care

The Coalition provided oral testimony to Novitas Solutions during its public meeting on wound care draft LCD (DL35125). The Coalition’s comments focus on the drastic difference between the draft LCD compared to its original and that Novitas gives no clear indications as to the reasons for this change. The Coalition also cited specific issues with the arbitrary and non-evidence based utilization parameters for disposable Negative Pressure Wound Therapy. Finally, the Coalition expressed its concerns regarding the confusing and contradictory information contained throughout the LCD, stating that the LCD must be changed and clarified before finalization.
View Coalition Comment
August 8, 2016

Comments to Cigna Government Services on DRAFT Local Coverage Determination (LCD) for Application of Skin Substitute for Wounds, of Lower Extremities (DL36690)

The Coalition submitted comments to Cigna Government Services (CGS) on draft Local Coverage Determination (LCD) for Application of Skin Substitute for Wounds, of Lower Extremities (DL36690), stating that CGS has abandoned the widely accepted CTP nomenclature despite being the first company to recognize it. Specifically, CGS and has reverted to using the scientifically incorrect term “skin-substitutes” in their LCD title language. The Coalition believes that this problematic language causes confusion among the clinical community, resulting in clinical inaccuracies and coverage guidance issues. 
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November 27, 2015

Comments to Palmetto GBA on draft LCD “Application of Skin Substitutes to Lower Extremity Chronic Non Healing Wounds”

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October 22, 2015

Testimony at Palmetto GBA public meeting on draft LCD “Application of Skin Substitutes to Lower Extremity Chronic Non Healing Wounds"

view coalition presentation
September 21, 2015

Comments to DMEMACs on draft surgical dressings LCD (DL33831) and Policy Article (A54563)

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August 25, 2015

Comments to Palmetto draft LCD on Debridement of Wounds

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July 24, 2015

Coalition comments to Palmetto draft LCD for Application of Skin Substitutes to Lower Extremity Chronic Non Healing Wounds (DL36123)

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May 23, 2015

Comments to First Coast Service Option on draft LCD for Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities

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November 6, 2014

Comments to Novitas on draft skin substitute LCD

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July 25, 2014

Comments on the First Coast Service Option’s draft LCD, “Application of Bioengineered Skin Substitutes for the Treatment of Diabetic and Venous Stasis Ulcers of the Lower Extremities”

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November 7, 2013

Comments to Novitas Solutions on Wound Care and Bioengineered Skin Substitutes

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July 18, 2013

Comments to Novitas Solutions on Wound Care and Bioengineered Skin Substitutes

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April 29, 2013

Comments to Cigna Government Services on CTPs

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March 13, 2013

Comments to First Coast on Cellular and/or Tissue Derived Products for Wounds (CTPs)

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