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
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, Read More →
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 Read More →
Facing Medicare Advancement Repayments?
The Dilemma 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 Read More →
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 Read More →
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 Read More →
