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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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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 so many to choose from, it can be difficult to select the best option.  In last month’s blog, we looked at Foam […]

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How Often Should I Perform Wound Evaluations?

AMERX Health Care provides extensive and detailed guidance to the AMERX Network of Physicians. This guidance covers compliance when dispensing surgical dressings and includes documentation requirements.  Many providers are comfortable with the documentation that is required when initially dispensing surgical dressings.  However, it is just as important to be comfortable with the regulations regarding the […]

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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 […]

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Opportunity in a Time of Turmoil

You may be nervous as you watch patient visits dwindle and new employee regulations take effect. Many of you have already experienced cash flow crunches and have begun to wonder how your practice will fare the pandemic. Uncertainty can be scary for both private practitioners as well as large groups. Don’t despair! There are opportunities […]

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Telemedicine & Surgical Dressings During the COVID-19 Pandemic

The Centers for Medicare and Medicaid Services (CMS) has announced waivers and loosened some provider restrictions since the public health emergency was declared.  There have been new announcements every day.  A concern among providers who dispense surgical dressings is the need to document, on a monthly basis, clinical information which demonstrates the reasonable and necessary […]