Collagen advanced wound care dressings are reimbursed by Medicare Part B, Medicaid, HMO’s, and other primary payors. Following Medicare Part B and third-party payer guidelines are critical in paid reimbursement claims. Medicare Part B will generally pay 80% of the Medicare-approved amount after paid deductible. Third-party payers can vary by State, plan type, and Provider.
To deliver evidence-based advanced wound care while utilizing established and developed medical standards to optimize wound healing outcomes:
Weekly wound assessment should include:
Reference:CMS Medicare Coverage Database Details. https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=33831&ContrID=140
Disclaimer: The information provided with this notice is general reimbursement information only. It is not legal advice, nor is it advice about how to code or submit any claim for payment. It is always the provider's responsibility to determine and submit appropriate codes, charges, modifiers, and bills for services rendered. The coding and reimbursement information is subject to change without notice. Before filing any claims, providers should verify current requirements and policies with the payer..