Many of you are scared. You are wondering how you are going to survive this pandemic. Your patient visits have dwindled or are nonexistent. New employee regulations have started, and many of you are facing unprecedented cash flow crunches. It is a scary time for both private practitioners and large groups. Here are some tips […]
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 […]
When dispensing surgical dressings, the dressing size should be selected based on the size of the ulcer being treated. From a clinical standpoint, the dressing should cover the entire ulcer. From a compliance and payment standpoint, it is not appropriate to use a large dressing size when a smaller size was available that could have […]
As of January 1, 2020, the DMEMAC requirement for a “Detailed Written Order” when ordering surgical dressings has changed to the requirement for a “Standard Written Order”. The required elements of a Standard Written Order are almost the same as those of the Detailed Written Order. The required elements of the Standard Written Order include: […]
A missed appointment is a missed opportunity for both the patient and the medical practice. Many times, patients fail to understand the importance of why they need to return for an appointment, and therefore do not make it a priority. In fact, many of them end up canceling or not showing up for their appointment.
When dispensing surgical dressings, it is important that the dressing size is selected appropriately based on the size of the ulcer being treated. The dressing should be large enough to cover the entire ulcer. However, you cannot expect reimbursement for a dressing when a smaller size is available that could have covered the same ulcer.
I am a data nut. I analyze data. I can tell a physician where they are losing money within 10 minutes of looking at their procedure reports. I can tell them where they are failing to provide comprehensive care. The number one reason for lost revenue across all specialties: Patients not returning. The main reasons […]
AMERX Health Care provides you with extensive resources that include everything you need for perfect documentation to ensure compliance when dispensing surgical dressings. The majority of this guidance comes from the DMEMAC Surgical Dressings LCD and the DMEMAC Surgical Dressing Policy Article. On December 3, 2019, the DMEMACs released some additional guidance in the form […]
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 […]
This should not be a guessing game, nor should it be a mystery. Knowing what your reimbursement should be for a service is an important tool in planning treatments and in checking your Explanation of Benefits (EOBs). This is the case with evaluation and management services, procedures, and durable medical equipment, including both surgical dressings […]