Doctor Filling Paperwork

Adequate Wound Documentation

Documenting an adequate description of an ulcer being treated is essential when dispensing surgical dressings. Providers know the elements that are necessary to thoroughly document a wound. These elements are taught in school. However, this list of elements may not satisfy the requirements of a third-party payer. From a payment perspective, the required elements of […]

AMERX Group Dressings

Documenting 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 wounds or lesions either on the skin or caused by an opening to the skin. Secondary Dressing – Materials that serve a therapeutic or protective function […]

ICD-10 Code Changes for the New Year

Accurate diagnosis coding is essential when providing wound care. This can include primary, secondary, and sometimes even tertiary diagnoses.  When a comorbid condition contributes to the care of a wound care patient, it may be appropriate to list the ICD-10 code representing that comorbid condition on the claim form.  There are major changes this year […]

Closeup of CMS Form 1500 with Box 17 Highlighted

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 or prescribing physician. Many electronic health record (EHR) programs automatically fill in this information with the referring physician (aka the primary […]

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Facing Medicare Advancement Repayments?

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 be repaid as a 100% deduction but, due to new regulations, this has been reduced to 25%. 25% is still a large amount […]

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Boost Revenue in the Face of Uncertainty

Many practitioners are having to grapple with financial loss as a result of COVID -19. Many clinics are starting to open fully, and cash flow is tight. Right now, you must start generating additional income from your practice. Dispensing wound care supplies is an amazing opportunity to quickly increase your cash flow while improving patient […]

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Your ABN Forms are Expiring!

When providing Durable Medical Equipment (DME) to Medicare Part B beneficiaries, there are certain situations where an Advanced Beneficiary Notice (ABN) may be required.  An ABN should be issued to the patient before they receive DME that is usually covered by insurance but is not in this particular case.  Issuing the ABN prior to delivery […]

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Revive Your Practice in Just 14 Days

Last month, I had the opportunity to work with more than 100 doctors while conducting a 14-day practice reinvention challenge. Every day, the participants were asked to watch a short video and perform a challenge that would help them work on their practice and themselves. For many of the participants, it was just the motivation […]

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How to Effectively Dispense Compression Therapy In-Office

Dispensing compression systems from my office is extremely rewarding.  Patients enjoy being handed the product they need, rather than having to hunt for it in their community.  Specifically, patients in need of compression therapy find that not all compression garments are right for them. Oftentimes, these patients enjoy the ease of application and adjustment that […]