Wound Care by RN on Unit
The question was raised to me today by my CNO because we are currently sending our PT/OT staff to provide wound care on the unit for our inpatient population rather than having our nurses do it. The question was if there was a difference in reimbursement from Medicare if the wound care was provided by an RN rather than a PT/OT. My only hesitation to this was that only Medicare QHPs can seek reimbursement from Medicare and RN aren't Medicare QHPs. Can you bill for wound care on your inpatient facility claim when the care is provided by a nurse and not a PT/OT? I know we will not receive any additional reimbursement because we are paid according to IPPS and our DRG is our reimbursement. I just want to ensure it is appropriate to bill for an RN performing the wound care provided physician's order, proper documentation, etc. is appropriate.