Acknowledgement:

Information on reimbursement in the United States is provided as a courtesy. Due to the rapidly changing nature of the law and Medicare payment policy, and our reliance on information provided by outside sources, the information provided herein does not constitute a guarantee or warranty by Smith and Nephew,Inc that reimbursement will be received.

This information is provided "AS IS" and without any other warranty or guarantee, expressed or implied, as to completeness or accuracy or otherwise. This information has been compiled based on data gathered from many primary and secondary sources, including the American Medical Association and certain Medicare contractors.

Physicians and other providers must confirm or clarify coding and coverage from their respective payers, as each payer may have differing formal or informal coding, coverage policies, or decisions. Physicians and providers are responsible for accurate documentation of patient conditions, and for reporting of procedures and products in accordance with particular payer requirements.

Reimbursement


Reimbursement Homepage

OASIS® Navigator provides you with information concerning the coding, payment, and coverage for OASIS® Matrix products and how they may apply to your wound care business.

OASIS® Navigator Hotline

Call the OASIS® Matrix Products Reimbursement Guidance Center Hotline at 1-877-805-5005 between 9am and 7pm EST Monday through Friday for help with reimbursement questions. A reimbursement associate can help you with topics such as:

  • Coding information
    • Helps identify the appropriate codes required on claims
  • Tips for payer research
    • Provides checklists to help facilitate insurance research. These checklists provide tips for determining coverage, securing prior authorization, determining reason for claim denial or underpayment, and preparing appeals
  • Sample letters of medical necessity and appeal
    • Supplies sample letters of medical necessity to help expedite prior authorization and appeals
  • Insurance benefits verification
    • Verifies patients' specific insurance benefits for OASIS® Matrix products
  • Prior authorization requirements
    • Determines prior authorization requirements for a qualified healthcare professional (QHP) to apply an OASIS® Matrix product on a specific patient
    • Advises the QHP of the prior authorization submission steps
    • Follows up with the payer

If you have product or clinical questions regarding Smith & Nephew products, please contact us at
1-800-441-8227. Review our Reimbursement Resources to learn more.

OASIS® is a registered trademark of Cook Biotech, Inc.

 




©2015 Smith & Nephew, Inc. All rights reserved.
OASIS is a registered trademark of Cook Biotech, Inc.
All trademarks acknowledged. HS1187-0214

Use of this Website is governed by the Terms of Use and Copyright & Disclaimer and Privacy Policy. This Website is intended for healthcare professionals in the United States only. The information provided is for informational purposes only and is not intended to be medical advice. It does not replace the professional training, experience, and knowledge of the healthcare provider responsible for patient care, who must base treatment upon the unique characteristics of each patient.

If you have questions about OASIS® MATRIX products that are not answered by this Website, contact us.