NPWT Referral Onboarding
Let's Get Started
Welcome to the Negative Pressure Wound Therapy (NPWT) program overview.
From the hospital to the home, InfuSystem ensures the continuity of care your patients need and deserve.
Required Documentation
Home First Kit and Supplies
Patient
Resources
Patient Care Coordinators
Paperwork
Library
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Inside this envelope you will find the required Negative Pressure Wound Therapy referral forms to complete and return to InfuSystem.
Negative Pressure Wound Therapy Referral Information
Physician Written Order
Assignment of Benefits
Home First Kit and Supplies
Home First Kit
What is included:
• NPWT Pump
• AC Adapter
• Pump Pouch
• Pump Quick Reference Guide
• Patient Resource Guide
• Patient Delivery Receipt
What is included:
• Medium Foam Dressing (3)
• Canisters (2)
• Clinic Paperwork Packet
Supplies:
Patient Resources
Patients will receive a Resource Guide with important information about
their negative pressure wound therapy pump, patient resources
and information about their financial responsibilities.
Patient Care Coordinator
Our dedicated Patient Care Team provides the best support possible for wound therapy patients during their transition home.
Patient Care Coordinator Helps:
• Reviewing insurance benefits
• Progress monitoring
• Additional supply orders
About InfuSystem
InfuSystem is the leading provider of infusion pumps and related services to hospitals, oncology practices and other alternate site health care providers. Headquartered in Rochester Hills, MI, InfuSystem delivers local, field-based customer support and also operates Centers of Excellence throughout the U.S. and Canada.
For more information contact the InfuSystem NPWT Team.
© 2020 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO, ESSENTIAL TO CARE, SVED, CATALYST and Twist N’ Connect are trademarks or registered trademarks of Cardinal Health and may be registered in the US and/or in other countries. All other marks are the property of their respective owners.
1-844-534-1997 npwt@infusystem.com
www.infusystem.com/npwt
PATIENT DISCHARGE-TO-HOME PROCESS
Our Home Care Discharge Team is dedicated to assisting you through the discharge process.
Let's review the discharge process.
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PREPARE THE STANDARD
DISCHARGE DOCUMENTATION
Send all documents to our secure fax (844) 220-4418
Signed Physician / Standard Written Order
Patient Demographics and Insurance
Medical Records to Support Medical Necessity
Signed Patient AOB Consent for Billing Services
SIGNED PHYSICIAN / STANDARARD WRITTEN ORDER
PATIENT DEMOGRAPHICS AND INSURANCE
MEDICAL RECORDS TO SUPPORT MEDICAL NECESSITY
SIGNED PATIENT AOB CONSENT FOR BILLING SERVICES
Send all documents to our secure fax (844) 220-4418
SEND THE DISCHARGE REQUEST
TO INFUSYSTEM
infusystem secures eligibility
YOUR PATIENT IS READY TO GO HOME
CLINIC PAPERWORK PACKET
The Home First Kit provides the NPWT pump and associated supplies to discharge a patient to their home. InfuSystem will ship the monthly balance of supplies directly to their home or other specified location.
Paperwork Library
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