Don’t Use “Unspecified” ICD-10-CM Codes in Wound Care
Why It Is Wrong The use of an "unspecified" ICD-10-CM code normally indicates that the documentation did not contain Read More →
Documenting Medical Necessity
Umbrella The presence and documentation of medical necessity is an umbrella requirement that applies to all medical services and Read More →
What Causes Failed Implementation?
Physicians ask me all the time how to start or continue dispensing wound care supplies. They want to start Read More →
Inappropriate Payment Denials
What Is Happening There have been multiple recent incidences of surgical dressing payment denial based on an auditor's finding Read More →
How To Respond To Medicare DME A6010 Audit Request
So, you have received a Medicare DME A6010 Audit. First, don't worry. If they are requesting one chart at Read More →
Surgical Dressings For Non-Medicare Patients
Can we dispense surgical dressings to patients who have medical insurance that is not Medicare Part B? Yes! Many Read More →
Copay Collection Requirement
Providers often ask whether they are permitted to "waive" payments that are patient responsibility. Legal interpretation of Medicare guidelines Read More →
Documenting Exudate
When dispensing surgical dressings and submitting a claim for payment, it is important to adhere to compliance guidelines. When Read More →
Adequate Wound Documentation
Documenting an adequate description of an ulcer being treated is essential when dispensing surgical dressings. Who Makes The Read More →
Documenting Primary Versus Secondary Surgical Dressings
Primary Versus Secondary Surgical Dressings According to the Durable Medical Equipment Medicare Administrative Contractors (DMEMACs), the definitions of primary Read More →
