The Top Reasons Your Protocols Are Not Being Followed

You know your practice needs protocols and spent time developing them, but now these valuable protocols are not being followed.  WHY?  These are the biggest reasons: 1. Your protocols are not hanging on the wall. You developed the protocols together as a clinic, but guess what? No one is going to remember them.  Laminate your […]

Face-To-Face Exam

The Face-To-Face Examination Requirement

Among the requirements that must be satisfied when dispensing surgical dressings and compression garments is a face-to-face (FTF) examination.  This FTF exam must take place within six months of the time the order is written for the surgical dressing(s) or compression garment.  It is acceptable if the FTF exam takes place on the same day […]

Why Your Practice Needs Protocols

Every business in the world operates through various systems of protocols. You order your dinner, the cashier rings it up, and the cook prepares it. You are greeted as you walk into a store, an associate helps you find the perfect shirt, and you head to the checkout counter. You buy your movie ticket, you […]

Special Notice: Recent Clarification Announced by CMS

Clarification in Order Requirements for DME Dispensing In a MLN Matters article dated October 12, 2018, CMS announced a clarification in order requirements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). Effective November 13, 2018, “when the prescribing practitioner is also the supplier, and is permitted to furnish specific items of DMEPOS, a separate […]

Agree photo

ALWAYS Tell Your Staff… Yes!

I had a problem.  I hated telling my staff  “yes.” I am a Type A personality. Above all else, I believe that I can do everything by myself, and depending on others to fix problems within a practice is a waste of time. I lived by two rules: I am right, and If you do […]

A- Modifier

Billing For Surgical Dressings: A- Modifiers

One of the most important steps to ensure clean billing of surgical dressings is the appropriate use of the A- modifier.  The A- modifier must be used to indicate two things: Is the dressing billed for a primary or secondary dressing? How many wounds are being treated with the dispensed dressing?  An important differentiation is […]

Dr. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

Separately Identifiable E/M Demystified

Does dispensing surgical dressings at the same encounter as an ulcer debridement count as an evaluation and management (E/M)? Short answer: Probably not. Longer answer: It depends. It depends on what was performed, documented, and medically necessary.  You can submit an E/M at the same time as a debridement (or any procedure) if—and only if—an […]