Can You Dispense Surgical Dressings/Wound Care Supplies to an Inpatient?

The short answer is… No. Medicare will not make separate payments for items dispensed during any inpatient stay in acute care hospitals, long term care hospitals, inpatient rehabilitation facilities, inpatient psychiatric facilities, or critical access hospitals.  Medicare makes payments to these entities via different payment systems and all payments made through these systems are considered […]

Can You Dispense Surgical Dressings/Wound Care Supplies To A Nursing Home Patient?

If you can’t dispense surgical dressings/wound care supplies to your inpatients, can you dispense supplies to your nursing home patients? Yes, you can! Dispensing wound care products to your nursing home patients allows you to control the wound care supplies your patients are receiving.  It is also great for an additional revenue source.  Dispensing wound […]

Top 5 Practice Management Pearls

As a medical consultant and practice manager, I am often asked, “What are your top management pearls?” Without further ado, here are my top 5: Always collect insurance information over the phone from a patient.   Always call and check benefits for standard procedures or DME that will be dispensed.  Know a patient’s deductible/ co-insurance and […]

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Get Ready! Additions to Pressure Ulcer Coding Coming Soon

Surgical dressings can be used for all types of qualifying ulcers.  This includes arterial ulcers, venous ulcers, diabetic foot ulcers, and pressure ulcers.  It is important to use the correct diagnosis codes for each of these ulcer types.  Diabetic foot ulcer codes should start with L97-.  Stasis ulcer codes begin with I83-. L89- codes are […]

Valuing Your Time as a Physician: Part 2

This is one of the top 10 questions I receive as a medical consultant, and my answer is always the same: Are you doing things that you are not required to do as a physician? Do you ever find yourself saying: Crap! I forgot to do that. I am running late. I will do that […]

Dispensing Primary and Secondary Dressings With Different Change Frequencies

When dispensing surgical dressings, it is important to differentiate between primary and secondary dressings and to use them in conjunction when indicated. PRIMARY DRESSINGS Primary dressings are therapeutic or protective and can be applied directly to ulcers. SECONDARY DRESSINGS Secondary dressings are needed to secure and/or aid in the function of a primary dressing. A […]

Valuing Your Time as a Physician: Part 1

You only have 24 hours in a day.  Your white coat does not magically give you extra hours in a day.  It is up to you how you use them. Your 24 hours will define who you are, what your practice becomes and what legacy you leave behind. When I shadow doctors in their office, […]

Proof of Delivery Forms

Proof of Delivery: Part 4

The Centers for Medicare and Medicaid Services (CMS) require that DME suppliers maintain proof that any item dispensed was received by the beneficiary in the form of a Proof of Delivery document. This document must be maintained for at least seven years.  This could be requested by DMEMACs, recovery auditors, supplemental medical review contractors, or […]

Assumptions Hold No Place in Medicine

Mrs. Jones, age 72, arrives for her 11 a.m. appointment on Tuesday.  She is coming in to get a refill on her cholesterol medication. The Medical Assistant: escorts her to the exam room where Mrs. Jones shares that she has a sore throat and is not feeling well takes vitals notices that Mrs. Jones temp […]

Proof of Delivery Forms

Proof of Delivery: Part 3

The Centers for Medicare and Medicaid Services (CMS) requires that DME suppliers maintain proof that any item dispensed was received by the beneficiary in the form of a Proof of Delivery document. This could be requested by DMEMACs, recovery auditors, supplemental medical review contractors, or Comprehensive Error Rate Testing (CERT) medical review contractors.  In our […]