SMRC reviews claims for surgical dressings
By HME News Staff
Updated 11:41 AM CST, Tue December 7, 2021
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, but only for primary and secondary surgical dressings used on the skin on specified wound types. Types of surgical dressings include but are not limited to alginate or other fiber gelling dressing, collagen or wound filling dressing and foam filling dressing.
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