A new ICD-10 Clinical Modification (ICD-10-CM) code set took effect on October 1, 2021. There are some changes to codes that may relate to Read More →
Why It Is Wrong The use of an "unspecified" ICD-10-CM code normally indicates that the documentation did not contain the information that was necessary Read More →
Umbrella The presence and documentation of medical necessity is an umbrella requirement that applies to all medical services and supplies when submitting for payment Read More →
Physicians ask me all the time how to start or continue dispensing wound care supplies. They want to start comprehensive care and provide a Read More →
What Is Happening There have been multiple recent incidences of surgical dressing payment denial based on an auditor's finding that four weeks of conservative Read More →
So, you have received a Medicare DME A6010 Audit. First, don't worry. If they are requesting one chart at a time, this is not Read More →
Can we dispense surgical dressings to patients who have medical insurance that is not Medicare Part B? Yes! Many non-Medicare third-party payers provide coverage Read More →
Providers often ask whether they are permitted to "waive" payments that are patient responsibility. Legal interpretation of Medicare guidelines usually results in the guidance Read More →
When dispensing surgical dressings and submitting a claim for payment, it is important to adhere to compliance guidelines. When dispensing surgical dressings to Medicare Read More →
Documenting an adequate description of an ulcer being treated is essential when dispensing surgical dressings. Who Makes The Rules? Providers know the elements Read More →
