Today's Wound Clinic - Spring 2008 - (Page 10)

inbusiness www.cms.hhs.gov/mcd/viewlcd.as p ? l c d _ i d = 1 1 4 4 9 & l c d _ ve r sion=36&show=all If surgical dressings are ordered for patient use at home, you should obtain the LCD for Surgical Dressings that pertains to the patients’ specific payers. • The MAC (Medicare Administrative Contractor) TrailBlazer Health Enterprise provides basic wound care and debridement documentation guidance (see Table II) in the LCD for Wound Care- Chronic Refractory Wounds (S-130B-R3), which can be found at: www.trailblazerhealth.com/Tools/L ocal%20Coverage%20Determinatio ns/Default.aspx?ID=2811 Clinicians and physicians should locate their respective payers’ policies regarding required chronic wound care and debridement documentation to prevent future repayments. • The Medicare Carrier First Coast Service Options provides documentation guidance for the application of various skin substitutes (see Table III) in their LCD for Skin Substitutes (L13381), which can be found at: www.cms.hhs.gov/mcd/viewlcd.asp ?lcd_id=13381&lcd_version=13&ba sket=lcd. If your facility and physicians offer the state-of-the-art procedures/products, be sure to review the Medicare contractor’s pertinent LCDs and Articles. • The MAC (Medicare Administrative Contractor) Wisconsin Physician Services provides documentation guidance (see Table IV) in their Part A LCD for Hyperbaric Oxygen (HBO) Therapy (L26527), which can be found at: www.cms.hhs.gov/mcd/viewlcd.asp ?lcd_id=26567&lcd_version=3&bas ket=lcd Facilities and physicians who provide HBO therapy should locate their payers’ documentation guidelines on this topic. SUMMARY Now that examples of documentation guidelines have been reviewed, which are provided by several Medicare contractors, one should be motivated to conduct research and find the medical policies that apply to the physicians and clinicians who work in the wound care center for excellence where they work. Educate oneself regarding the documentation requirements. If one needs assistance to interpret the guidance policies, contact the medical director of the payer who wrote the policy and/or request an inservice from the professional coder(s) in the facility and in the physicians’ practices. Ultimately, each physician and clinician should assume the responsibility for their own documentation. This high quality documentation should reduce the A clinical study for PERIPHERAL ARTERIAL DISEASE WITH CRITICAL LIMB ISCHEMIA For more information, call: 1-877-800-5568 10 Spring 2008 Today’s Wound Clinic http://www.cms.hhs.gov/mcd/viewlcd.asp?lcd_id=11449&lcd_version=36&show=all http://www.cms.hhs.gov/mcd/viewlcd.asp?lcd_id=13381&lcd_version=13&basket=lcd http://www.cms.hhs.gov/mcd/viewlcd.asp?lcd_id=13381&lcd_version=13&basket=lcd http://www.cms.hhs.gov/mcd/viewlcd.asp?lcd_id=13381&lcd_version=13&basket=lcd http://www.trailblazerhealth.com/Tools/Local%20Coverage%20Determinations/Default.aspx?ID=2811 http://www.cms.hhs.gov/mcd/viewlcd.asp?lcd_id=26567&lcd_version=3&basket=lcd http://www.restorecli.com/restorecli/

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Today's Wound Clinic - Spring 2008 Contents InTroduction InBusiness Documentation: The 30,000-Foot View Documentation: Clearing Up the Role of Compliance InTech InPhotography InFluence InStruction InNews InCentive Ad Index

Today's Wound Clinic - Spring 2008

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