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Payment Strategies If You Do Not Score 100% on This Self-Test, Consider Not Ordering Surgical Dressings for Medicare Part B-Covered Patients to Use at Home! Kathleen D. Schaum, MS ver since the Payment Strategies column was es- to educate physicians/QHPs about their obligations to tablished, this author has needed to repeatedly ad- appropriately assess wounds/ulcers, document the med- dress one subject in particular: the Surgical Dress- ical necessity for both the primary and secondary dress- E ing Local Coverage Determination (LCD) L33831 ings, and order combinations of primary and secondary and its attached Policy Article A54563. Although these dressings that align with all the LCD and the Policy documents have been in existence for several decades, Article guidelines. many wound and ulcer management physicians and All physicians and QHPs who order surgical dressings other qualified healthcare professionals (QHPs) do not for Medicare Part B-covered patients to use at home should know about them and do not incorporate the utilization download, study, and follow all the Surgical Dressing LCD guidelines into their selection of surgical dressings for and Policy Article guidelines to ensure that the DME sup- Medicare Part B-covered patients to use at home. pliers can compliantly provide the
Advances in Skin & Wound Care – Wolters Kluwer Health
Published: Jun 1, 2023
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