Reimbursement


Reimbursement Resources

When used in the hospital, reimbursement varies by payer, contract terms and site of service. To help answer common coding and reimbursement questions from physicians, coders and hospital administrators, the following information is shared for educational purposes only.

Providers are responsible for verifying coverage with the patient’s insurance carrier, including the applicability of any non-coverage decision that may exist for any of ACell’s products. Since reimbursement laws regulations and payer policies change frequently,
it is recommended that providers consult with their payers, coding specialists and/or
legal counsel regarding coverage, coding and payment issues. ACell assumes no responsibility for the timeliness, accuracy and completeness of the coding information suggested to the Provider, Physician and Billing Staff.

ACell Reimbursement Support Center

  • Phone: 800-826-2926 option 7
  • Email: reimbursement@acell.com

    • Wound & Burn Reimbursement & Coding Guide

      Wound and Burn Reimbursement 2018
      The following information is provided by ACell, Inc. as a courtesy and a guide for
      reimbursement for Cytal® and MicroMatrix® wound management devices.

      Click Here to view


      Hernia Reimbursement & Coding Guide

      Hernia Reimbursement 2018
      The following information is provided by ACell, Inc. as a courtesy and a guide for
      reimbursement for Gentrix® Surgical Matrix devices.

      Click Here to view


      Dynamic Tissue Systems® Reimbursement & Coding Guide

      Dynamic Tissue Systems Reimbursement 2018
      The following information is provided by ACell, Inc. as a courtesy and a guide for
      reimbursement for Dynamic Tissue System® devices.

      Click Here to view


      Xpansion® Reimbursement & Coding Guide

      Xpansion Reimbursement 2018
      The following information is provided by ACell, Inc. as a courtesy and a guide for
      reimbursement for Xpansion® devices.

      Click Here to view

    • CGS Administrators

      CGS Administrators
      Jurisdictions: KY | OH

      The following information is provided by ACell, Inc. as a courtesy and a guide for reimbursement for CGS Administrators.

      Click Here to view


      First Coast Service Options

      First Coast Service Options
      Jurisdictions: FL

      The following information is provided by ACell, Inc. as a courtesy and a guide for reimbursement for First Coast Service Options.

      Click Here to view


      National Government Services

      National Government Services
      Jurisdictions: CT | IL | NY | ME | MA | MN | NH | RI | VT | WI

      The following information is provided by ACell, Inc. as a courtesy and a guide for reimbursement for National Government Services.

      Click Here to view


      Noridian Healthcare Solutions

      Noridian Healthcare Solutions
      Jurisdictions: AK | AZ | CA | HI | ID | MT | ND | NV | OR | SD | UT | WA | WY | America Samoa | Guam | Northern Mariana Islands

      The following information is provided by ACell, Inc. as a courtesy and a guide for reimbursement for Noridian Healthcare Solutions.

      Click Here to view


      Novitas Solutions

      Novitas Solutions
      Jurisdictions: AR | CO | DC | DE | LA | MD | MS | NM | OK | PA | TX

      The following information is provided by ACell, Inc. as a courtesy and a guide for reimbursement for Novitas Solutions.

      Click Here to view


      Palmetto GBA

      Palmetto GBA
      Jurisdictions: AL | GA | NC | SC | TN | VA | WV

      The following information is provided by ACell, Inc. as a courtesy and a guide for reimbursement for Palmetto GBA.

      Click Here to view


      Wisconsin Physician Services Corporation

      Wisconsin Physician Services Corporation
      Jurisdictions: IA | IN | KS | MI | MO | NE

      The following information is provided by ACell, Inc. as a courtesy and a guide for reimbursement for Wisconsin Physician Services Corporation.

      Click Here to view

    • Reimbursement Support Center Flyer

      Wound and Burn Reimbursement 2016
      The ACell Reimbursement Support Center is available to assist with your Coverage, Coding, and Payment questions.

      Click Here to view


      Prior Authorization Checklist

      Wound and Burn Reimbursement 2016
      The following form is provided by ACell, Inc. as a checklist for office use only. Some insurers require use of their own form.

      Click Here to download


      Summary Documentation Criteria

      Wound and Burn Reimbursement 2016
      ACell, Inc. provides the following as criteria that is needed for Summary Documentation.

      Click Here to view


      Sample Letter of Appeal

      Wound and Burn Reimbursement 2016
      The following form is provided by ACell, Inc. as a template for writing a letter of appeal.

      Click Here to download


      Sample Letter of Medical Necessity

      Wound and Burn Reimbursement 2016
      The following form is provided by ACell, Inc. as a template for writing a letter of medical necessity.

      Click Here to download