Closeup of CMS Form 1500 with Box 17 Highlighted

CMS Form 1500: Is Box 17 Correct on YOUR Forms?

One of the most common errors I see when auditing wound care and DME billing is found in box 17 on the CMS 1500 form.  This is the box that lists the referring, supervising or prescribing physician. Many electronic health record (EHR) programs automatically fill in this information with the referring physician (aka the primary […]

Special Notification about Calcium Alginate

SPECIAL NOTICE: Calcium Alginate – Now a Primary OR Secondary Dressing

Last week, the Durable Medical Equipment Medicare Administrative Contractors (DMEMACs) made a change to their joint Surgical Dressing Local Coverage Article (LCA) that states calcium alginate can serve as either a primary dressing or a secondary dressing.  Prior to this change calcium alginate could only serve as a primary dressing. This change is effective now.

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Facing Medicare Advancement Repayments?

Many physicians took out loans using the CMS Advance Payment Program during Covid-19.  In the coming months, this money will begin to be deducted from your reimbursements.  Originally, this was supposed to be repaid as a 100% deduction but, due to new regulations, this has been reduced to 25%. 25% is still a large amount […]

Product images of AMERX Calicium Alginate Dressings

Choosing The Right Dressings: When to Select Calcium Alginate

Dispensing surgical dressings in your office improves outcomes, improves patient satisfaction, and can result in tremendous profits.  The main surgical dressings that can be dispensed include: Collagen Foam Calcium Alginate Hydrogel Gauze Hydrocolloid Compression Garments With so many to choose from, it can be difficult to select the best option.  In last month’s blog, we looked at Foam […]

Choosing the Right Dressings: When to Select Foam

Dispensing surgical dressings in your office improves outcomes, improves patient satisfaction, and can result in tremendous profits.  The main surgical dressings that can be dispensed include: Collagen Foam Calcium Alginate Hydrogel Gauze Hydrocolloid Compression Garments With so many to choose from, it can be difficult to select the best option.  In the first of this […]

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Follow-Up Calls Your Office Should Be Making

Many practitioners are struggling to fill their schedules. Due to COVID-19 and other factors, their schedules are lighter than they used to be. Many practitioners are just waiting for things to go back to “normal”. It is vital to your practice that you see patients now and not wait until things return to normal. Follow-up […]

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How Often Should I Perform Wound Evaluations?

AMERX Health Care provides extensive and detailed guidance to the AMERX Network of Physicians. This guidance covers compliance when dispensing surgical dressings and includes documentation requirements.  Many providers are comfortable with the documentation that is required when initially dispensing surgical dressings.  However, it is just as important to be comfortable with the regulations regarding the […]

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Boost Revenue in the Face of Uncertainty

Many practitioners are having to grapple with financial loss as a result of COVID -19. Many clinics are starting to open fully, and cash flow is tight. Right now, you must start generating additional income from your practice. Dispensing wound care supplies is an amazing opportunity to quickly increase your cash flow while improving patient […]

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The Case for Oak Extract & Tannins in Topical Wound Care

A major problem when caring for wounds is the high risk of infection.  It is very easy for bacteria to enter the body through broken or damaged skin and spread.  Bacteria can colonize wounds within the first 48 hours of injury; leading to infection and prolonging the inflammatory phase of wound healing 8.  Ideally, agents […]

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Your ABN Forms are Expiring!

When providing Durable Medical Equipment (DME) to Medicare Part B beneficiaries, there are certain situations where an Advanced Beneficiary Notice (ABN) may be required.  An ABN should be issued to the patient before they receive DME that is usually covered by insurance but is not in this particular case.  Issuing the ABN prior to delivery […]