Reimbursement

Diversified Clinical Services provides expert advice and assistance in billing processes specific to a Comprehensive Wound Healing Center. Our Reimbursement Specialists work with the hospital's billing and coding department to assure efficient and optimal billing processes and procedures. Diversified Clinical Services also offers coding, billing, and reimbursement assistance to Center physicians who bill separately for their services.

Our reimbursement experts will provide:

An overview of the Outpatient Prospective Payment System (OPPS), specific requirements from your Medicare Fiscal Intermediary, applicable Local Coverage Determinations (LCDs- formerly called LMRPs), appropriate Program Memorandums from CMS, updates to Coding and Billing Practices, and compliance requirements for HIPAA
A Comprehensive Reimbursement Manual that contains Part A and B coverage and payment
A detailed Chargemaster that is updated annually and includes HCPCS/CPT codes, APC information, hospital and physician reimbursement by CMS, and national average charges
Superbills for Center (Hospital) and Physician Services
Diagnosis Codes for Wound Care and Hyperbaric Oxygen Therapy
Guidelines, documentation tools and a "point system" for Evaluation and Management Services
Billing and Coding information for approved indications of Hyperbaric Oxygen Therapy as well as CMS requirements for Physician Supervision and Credentialing
- Transcutaneous Oxygen Monitoring (TCOM)
- Debridements
- Compression Strapping/ Wraps
- Bioengineered Tissue (Apligraf, Dermagraft, etc.)
- Drugs and Biologicals
- Supplies