Page 1 of 4Youll x00660069nd substantive content updates in dark red fontProvider Types Ax00660066ectedWhat146s ChangedSocial Security Act 1861 s5surgical dressings Additional types of errors for surg ID: 887630
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1 Page 1 of 4 Provider Compliance Tips for
Page 1 of 4 Provider Compliance Tips for Surgical DressingsPrint-Friendly Version You’ll �nd substantive content updates in dark red font.Provider Types A�ected What’s Changed? Social Security Act 1861 (s)(5)surgical dressings. Additional types of errors for surgical dressings in the To Prevent Denialsfor payment. The written order or prescription must meet the requirements outlined for the Standard Written Patient’s name or Medicare Bene�ciary Identi�er (MBI) • • • Treating Practitioner Name or N
2 ational Provider Identi�er (N
ational Provider Identi�er (NPI) Treating practitioner’s signature • A wound caused by, or treated by, a surgical procedure • – Therapeutic or protective coverings applied directly to wounds or lesions either on For �rst wound evaluations, the treating practitioner’s medical record, nursing home, or home care nursing Information on the location, number, and size of qualifying wounds being treated with a dressing The type of dressing (for example, hydrocolloid wound cover, hydrogel wound �ller) of the
3 patient’s wound(s) unless there’s do
patient’s wound(s) unless there’s documentation in the medical record, that justi�es why an evaluation draining or infected wounds. A nurse, treating practitioner or other health care professional involved in the regular care of the patient can do the evaluation. This person may have no �nancial relationship with the supplier. This prohibition doesn’t extend to treating practitioners who are also the supplier. Page 4 of 4 The weekly or monthly evaluation Wound(s) location Wound size (length x width) and depth supplier’s records.For purposes of
4 this policy, the product in contact wit
this policy, the product in contact with the wound decides the change frequency. Medicare and necessary. Local Coverage Article: Standard Documentation Requirements for All Claims Submitted to DME MACS Local Coverage Article: Surgical Dressings - Policy Article (A54563) Social Security Act 1861(s)(5) for any updates or changes to the Policy Article (PA) and the Local Coverage Determination Medicare Learning Network® Content Disclaimer, Product Disclaimer, and Department of Health & Human Provider Compliance Tips for Surgical Dressings Fact Sheet MLN909475 February 2