The Alliance sent a letter to Guidewell Source, the parent company of Medicare Administrative Contractors Novitas Solutions and First Coat Service Options, requesting that the two MACs withdraw their proposed  LCDs on Skin Substitutes for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers (DL35041 and DL36377) and the accompanying Local Coverage Articles (DA54117 and DA57680). "As the parent company to both Novitas and FCSO, we are calling to your attention that statements in the draft LCDs and LCAs are contrary to wound care clinical practice guidelines and scientific research and they also violate several aspects of statutory and regulatory laws... the Alliance strongly recommends that this policy be withdrawn before it negatively impacts patient care."

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