Reimbursement & Coding
HCPCS Coding Guidance
Visit the PDAC website for the latest Coverage and Payment Rules, codes and general guidelines for seeking DME reimbursement through Medicare. These guidelines do not replace directions provided by CMS. AMERX Health Care recommends checking with PDAC for the latest updates regarding rules and regulations for dispensing DME products. PDAC – www.dmepdac.com
AMERX Health Care regularly reviews and releases the latest HCPCS Coding Guidance related to our products. Download your copy today!
Common Wound Care Diagnosis & Debridement Codes for AMERX Products
AMERX Health Care has compiled a handy guide of Debridement Codes and ICD-10 Codes associated with dispensing AMERX Products, available exclusively to those health care providers already a part of the AMERX Family of Dispensing Physicians. While the information in this guide is intended to assist you and your practice with coding, the existence of a code does not guarantee payment. The information is accurate to the best of our knowledge at the time of publication, but coding guidelines can change and we always encourage you to stay up to date.
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The Latest in Reimbursement & Coding Information from the Blog
Copay Collection Requirement
Providers often ask whether they are permitted to "waive" payments that are patient responsibility. Legal interpretation of Medicare guidelines usually results in the guidance that providers have to make a "reasonable attempt" or "bona Read More →
Documenting Exudate
When dispensing surgical dressings and submitting a claim for payment, it is important to adhere to compliance guidelines. When dispensing surgical dressings to Medicare beneficiaries, these guidelines are clearly listed in the Durable Medical Read More →
Adequate Wound Documentation
Documenting an adequate description of an ulcer being treated is essential when dispensing surgical dressings. Who Makes The Rules? Providers know the elements that are necessary to thoroughly document a wound. These elements Read More →
Documenting Primary Versus Secondary Surgical Dressings
Primary Versus Secondary Surgical Dressings According to the Durable Medical Equipment Medicare Administrative Contractors (DMEMACs), the definitions of primary and secondary surgical dressings are: Primary Dressing - Therapeutic or protective covering applied directly to Read More →
Surgical Dressings for Hospice Patients
Hospice Guidelines A Medicare beneficiary may choose to receive hospice care after a doctor certifies that they are terminally ill, meaning they have a life expectancy of 6 months or less. Patients who choose Read More →
