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This bill amends Medicare to establish a new payment system for skin substitute products used in wound care. It creates a volume-weighted average payment methodology based on 2023 pricing data, with annual adjustments tied to the Consumer Price Index, and requires equivalent reimbursement across different care settings. The bill also establishes program integrity measures, including identification of high-volume providers, prepayment claim review, prior authorization requirements, and potential enrollment revocation for noncompliant outlier providers.
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