When ordering collagen wound dressings or other wound care/surgical dressings, it’s critical to have documentation to back up the medical necessity of the items being billed to the Centers for Medicare and Medicaid Services (CMS). Here are some pointers to make sure your documentation follows CMS’s current criteria.
Criteria for Documentation in Support of Medical Necessity in Billing Reimbursement
Collagen Dressings Or Wound Fillers: Medicare Part B Claims Criteria (A6010, A6011, A6021-A6024)
In order to justify and justify the use of appropriate dressings, a thorough wound assessment is required. Clinicians should be familiar with the formulary, dressing categories, indications, and contraindications at their facility. When used in conjunction with wound bed preparation, moist-wound healing, offloading/redistribution, and continued education, collagen dressings have been demonstrated to bring chronic complex wounds toward a healing trajectory. When choosing advanced wound care products, healthcare providers should examine the quality, product features, price, and availability.
Human BioSciences, Inc. blog offers education and tips; however,the information provided by this website or company is not a substitute for medical treatment or advice.