Medicare Coverage for Wound Care

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Medicare Coverage for Wound Care
Medicare Coverage for Wound Care Medicare covers
wound care for all beneficiaries, irrespective of
whether it is carried out in an inpatient or
outpatient setting. It can be expensive for
patients. Few people may suffer from
post-surgical lesions. Other patients may suffer
from chronic fungal or viral wounds. Due to the
prevalence of wounds with age, its simple to
understand why Medicare would cover this
treatment. Medicare Coverage for Wound Care
supplies are protective covers or fillers for
openings on the body caused by surgical
procedures, wounds, ulcers, or burns. These
supplies are protected under Medicare Part B when
they are medically essential for the treatment of
surgical or debrided wounds. Supply claims are
processed by the 4 Durable Medical Equipment
Regional Carriers (DMERCs). Medicare Guidelines
for Wound Care Medicare provides reimbursement
for surgical wounds. Also, Medicare covers
chronic wounds. Medicare covers It supplies for
various types of wounds. Few lessons are from
surgeries, ulcers, burns, or flesh wounds. It
depends upon how patients will receive It as an
inpatient or outpatient will determine which part
of Medicare will provide reimbursement. Inpatient
Wound Care Coverage
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Medicare Coverage for Wound Care

• If the patient receives a wound care inpatient
  like a hospital, skilled nursing facility, or
  rehab facility, coverage would fall under Part A.
  You must know that there is a deductible
  under Part A, but Medicare Supplement Plans will
  cover these deductibles.
• What is Covered Under Medicare Part A?
• Medicare Part A coverage
• Hospital meals
• Semi-private room
• Special care units

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Medicare Coverage for Wound Care

• Drugs, supplies, and equipment
• Lab tests and X-rays
• Some blood transfusions
• Hospice care
• Operating room and recovery room
• Rehabilitation services during your stay
• Skilled Nursing care on a part-time basis
• Outpatient Wound Care Coverage
• If patients receive it in an outpatient like at a
  doctors office, coverage would fall under Part
  B. It also covers Durable Medical Equipment (DME)
  if patients require it. This includes any
  supplies that are medically necessary to treat a
  patients wound. Part B also comes with a
  deductible. However, if the patient has a
  supplemental plan then it could be covered.
• Wound Care Supplies Covered by Medicare

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Medicare Coverage for Wound Care

• Medicare cover primary and secondary wound
  dressings for patients injuries. Primary
  dressing supply means which are directly applied
  on injury and secondary dressings mean which
  helps to the primary dressings e.g., bandages,
  gauze, and adhesive tape.
• Hydrogel Dressings
• Hydrocolloid Dressings
• Alginate Dressings
• Gauze
• Foam Dressings
• Medicare Documentation
• It is the physicians responsibility to
  understand the rules and regulations and guiding
  the departments documentation and billing
  processes. The patients medical record should
  include and clearly documented the progress of
  the wounds response to treatment at each
  physician visit. Medicare covers wound treatment
  if the patient has the necessary documents.

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Medicare Coverage for Wound Care

• Size of your wound
• Evidence of your wound
• Any necessary drainage needs
• The level of damage patients injury is causing
• Medicare Advantage Coverage
• Its difficult to predict that how much patients
  will need to pay out of pocket with the Medicare
  Advantage Plan. You may need to contact the
  carrier directly to find out how much cover and
  how much out-of-pocket expenses will be.
• We at have experienced and trained staff to take
  care of all these things. We regularly conduct
  staff training to keep them updated with the
  latest updates.
• Let us know the issues which you are facing in
  your current Wound Care practice. We will help
  you to increase overall your practice revenue by
  eliminating redundant errors.
• You can reach out to us at info_at_medicalbillersand
  coders.com or call us at 888-357-3226.