Reimbursement & Coding Information

HCPCS Coding Guidance

HCPCS Coding Guidance – The link provided below contains 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 recommends checking with PDAC for the latest updates regarding rules and regulations for dispensing DME products. PDAC – www.dmepdac.com

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.  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.

The Latest in Reimbursement & Coding Information from the Blog

Medicare Reimbursement Calculation SQ

How Much Are You Getting Paid For That? Part II

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In last month’s post, we provided the information needed to access the current durable medical equipment (DME) and / or prosthetics (DMEPOS) fee schedule.  When opening the file for the current fee schedule, the HCPCS codes are listed from top to bottom in column A.  The reimbursement dollar value is listed for each state from […]

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6 Ways to Practice Smarter

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In my previous blog, I discussed knowing your numbers to maintain a robust bottom line. Here are other practice management tips that can dramatically increase your bottom line. You must see patients. I am all for vacations and time off to recharge, but I find that some doctors take too many days off or reduce […]

Top 5 Practice Management Pearls

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As a medical consultant and practice manager, I am often asked, “What are your top management pearls?” Without further ado, here are my top 5: Always collect insurance information over the phone from a patient.   Always call and check benefits for standard procedures or DME that will be dispensed.  Know a patient’s deductible/ co-insurance and […]