About the Speaker
What the Heck is Going on with CMS and Skin Substitutes? - Michael Warshaw, DPM, CSFAC, CPC, CPODCS, COCS, CMSCCS
CMEonline
What the Heck is Going on with CMS and Skin Substitutes?
What the Heck is Going on with CMS and Skin Substitutes? - Michael Warshaw, DPM
Course Overview
Medicare spending on wound care products known as “skin substitutes” has had unprecedented growth, rising from $256 million in 2019 to over $10 billion in 2024, according to Medicare Part B claims data. This dramatic increase is largely attributed to abusive pricing practices in the sector, including the use of products with limited evidence of clinical value. This has led to a significant decrease in reimbursements and a significant increase in audits performed by CMS. This presentation will focus on the rules and regulations that now must be followed. By following the rules and regulations an audit will be no more than an inconvenience, not a life-changing event.
Learning Objectives
-
Medicare spending on wound care products known as “skin substitutes” has had unprecedented growth, rising from $256 million in 2019 to over $10 billion in 2024, according to Medicare Part B claims data. This dramatic increase is largely attributed to abusive pricing practices in the sector, including the use of products with limited evidence of clinical value. This has led to a significant decrease in reimbursements and a significant increase in audits performed by CMS. This presentation will focus on the rules and regulations that now must be followed. By following the rules and regulations an audit will be no more than an inconvenience, not a life-changing event.
-
Explain the CMS WiseR model and its relevance to wound care reimbursement
-
Identify the elimination of Medicare reimbursement for unused or discarded skin substitute portions and the discontinuation of JW and JZ modifier use
Components
- This course provides for 1.5 CME
- Estimated time to complete the activity - The program will take approximately 1 hour and 30 minutes to complete
- The course was originally released in 2026
- There is a post assessment quiz and a survey at the end of the event. A score of 76% or better is required to pass the course
Course Staff
Cost of Course
$30.00
Intended Audience: Podiatrist and other medical professionals treating conditions of the Lower Extremities
Refund Policy
No refunds are available for online courses
Compliance Statement
In accordance with the Council on Podiatric Medical Education's Standards and Requirements for Accreditation of Providers of Continuing Education in Podiatric Medicine, any relevant financial relationships with commercial interests of faculty, planning committee, or any others who have influence over the content of this educational activity must be disclosed to program participants. Neither the speaker nor the planning committee have any commercial interests to disclose. No commercial interest provided financial support for this educational activity. CME Online is accredited by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. CME Online has accredited this activity for a maximum of 1.5 continuing education contact hours.