Tag: surgical dressings

WASHINGTON – Noridian Healthcare Solutions, the Supplemental Medical Review Contractor for CMS, is conducting post-payment reviews of claims for surgical dressings billed on dates of service from Jan. 1, 2019, through Dec. 31, 2019. Surgical dressings are ranked in the top four categories with the highest improper payment rate at 62.8%, according to the 2019 Comprehensive Error Rate Testing Improper Payment Report. Medicare provides reimbursement for surgical dressings under the DMEPOS benefit,...

WASHINGTON - Noridian has made several clarifications related to the local coverage determination for surgical dressings, including that the three types of wounds covered are independent of each other, AAHomecare reports. Noridian also clarified that collagen dressings can be used for a maximum of seven days and can be changed daily depending on the wound; hydrogel dressing is covered when the wound is not a pressure ulcer; and “the LCD's characterization of a wound as 'full thickness' or 'partial...