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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 […]

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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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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Understanding Debridement and Surgical Dressing Coverage

According to the DMEMAC Local Coverage Article (LCA), Surgical Dressings – Policy Article (A54563), surgical dressings are covered when a “qualifying” wound is present.  We must understand which wounds qualify.  While there are different requirements for different dressing types, all wounds must meet certain criteria before the dressing type can even be considered.  The LCA […]

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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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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.

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How Much Are You Getting Paid For That? Part II

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 […]

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How Much Are You Getting Paid For That? Part 1

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 […]