Many clinicians are unaware that most medical insurance covers wound dressings, and coverage complexities can confuse patient and provider alike, write experts Dr. Caroline Fife and Vonda Wall. Whether and what supplies are covered is based on wound size, depth, number and drainage amount. Equipment suppliers must consider wound classification and insurer rules in filling prescriptions for home delivery of dressings and other wound treatments, and they may substitute products unexpectedly. Using electronic records and entry systems can eliminate points of failure in the process, allowing for proper documentation in the clinic, more accurate order entry and billing, and notification of when and what products are shipped to the patient, Fife and Wall write.
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