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 […]
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 […]
In July 2019, more than 45,000 Scouts from 169 countries gathered for the 24th World Scout Jamboree held in West Virginia. Over the course of 12 days, attendees camped and adventured across the Summit Bechtel Family National Scout Reserve experiencing troop teambuilding, educational workshops, campfire gatherings and more. AMERX Health Care had the privilege of […]
The short answer is… No. Medicare will not make separate payments for items dispensed during any inpatient stay in acute care hospitals, long term care hospitals, inpatient rehabilitation facilities, inpatient psychiatric facilities, or critical access hospitals. Medicare makes payments to these entities via different payment systems and all payments made through these systems are considered […]
If you can’t dispense surgical dressings/wound care supplies to your inpatients, can you dispense supplies to your nursing home patients? Yes, you can! Dispensing wound care products to your nursing home patients allows you to control the wound care supplies your patients are receiving. It is also great for an additional revenue source. Dispensing wound […]
Surgical dressings can be used for all types of qualifying ulcers. This includes arterial ulcers, venous ulcers, diabetic foot ulcers, and pressure ulcers. It is important to use the correct diagnosis codes for each of these ulcer types. Diabetic foot ulcer codes should start with L97-. Stasis ulcer codes begin with I83-. L89- codes are […]
When dispensing surgical dressings, it is important to differentiate between primary and secondary dressings and to use them in conjunction when indicated. PRIMARY DRESSINGS Primary dressings are therapeutic or protective and can be applied directly to ulcers. SECONDARY DRESSINGS Secondary dressings are needed to secure and/or aid in the function of a primary dressing. A […]
The Centers for Medicare and Medicaid Services (CMS) require that DME suppliers maintain proof that any item dispensed was received by the beneficiary in the form of a Proof of Delivery document. This document must be maintained for at least seven years. This could be requested by DMEMACs, recovery auditors, supplemental medical review contractors, or […]