EXTREMIT-EASE Application Lehrman Blog Image_SQ

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 […]

Guide to Surviving COVID19 Blog Image SQ

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 […]

AMERX® Bordered Foam Dressings

Choosing the Proper Dressing Size

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 […]

Ulcer Measurement Image SQ

The Best Method For Measuring a Wound

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.

Proof of Delivery Forms

Proof of Delivery: Part 1

The Centers for Medicare and Medicaid Services (CMS) requires that DME suppliers maintain proof that any item dispensed was received by the beneficiary in the form of a Proof of Delivery document. This proof may be needed to substantiate payment. It may be requested by DMEMACs, recovery auditors, supplemental medical review contractors, or Comprehensive Error […]

Wound vs. Ulcer – Does It Matter?

While some physicians may interchange the terms “ulcer” and “wound” as if they are synonyms, when it comes to ICD-10, your choice of words DOES matter! What is the Difference between a Wound and an Ulcer? In ICD-10 language, a “wound” is something traumatic.  An “ulcer” refers to a break in the skin that fails […]

AMERX 30-Day Wound Care Kit with HELIX3-CM®

One Ulcer, Two Dressings

Can You Bill For Two Different Dressings For The Same Ulcer?  The answer is… YES! When can you dispense two dressings for the same ulcer?  When a primary dressing, like collagen powder, is dispensed and requires a secondary dressing for securement, you can dispense both the primary and secondary dressings for the same ulcer—and bill […]

Dr. Jeffrey D. Lehrman, DPM, FASPS, MAPWCA, CPC

To Combine or Not to Combine

Multiple surgical dressings can be combined to appropriately cover a wound, however there are dressing combinations that are not appropriate.   Different surgical dressings have different indications and you should not combine two dressings that have different indications for the same wound. One example of something that should not be done is to use a dressing […]