The rules did not change, but there has been a recent increase in Pre-Claim Review (PCR) non-affirmations when wound measurements and other clinical documentation is not submitted. In order for the wound care to be considered reasonable and necessary, the Medicare Benefit Policy Manual Chapter 7 – 40.1.2.8 Wound Care states, “the size, depth, nature…
Tag: wound care
Wound Care
Both home health agencies and hospices may care for patient wounds in the course of their work. Wound care may involve treatment of ulcers, burns, pressure sores, open surgical sites, fistulas, tube sites, and tumor erosion sites as well as other types of wounds. The challenges of wound care include several factors—accurate assessment of the…
