I am trying to find resources regarding wound care and who can bill for the treatment of the wounds. The situation is this - our providers (in an FQHC) are sending patients to an outside specialist for treatment of a complex wound. The specialist treats the patient and is the primary provider who is caring for this wound. The patient's are coming back to our office for routine wound care - bandage/dressing change, evaluating how the wound is healing, etc. Our providers are NOT caring for the patient, just our nurses/clinical staff for this condition.
How can we bill for this care? Our clinical staff is performing the care but the care plan is from a different providers office. One option that we are looking into is "incident to" billing - our providers were the ones to provide that initial visit that resulted in a referral to a specialist, and now patient is back in our office for part of the care. The providers are directly supervising this care - in office not always in same room.
I have been looking through CMS and could not find anything specific to this particular scenario, I also looked on our Medicaid website - AHCCCS (Arizona Medicaid) and also nothing specific.
Any help in pointing us in the right direction would be appreciated.
How can we bill for this care? Our clinical staff is performing the care but the care plan is from a different providers office. One option that we are looking into is "incident to" billing - our providers were the ones to provide that initial visit that resulted in a referral to a specialist, and now patient is back in our office for part of the care. The providers are directly supervising this care - in office not always in same room.
I have been looking through CMS and could not find anything specific to this particular scenario, I also looked on our Medicaid website - AHCCCS (Arizona Medicaid) and also nothing specific.
Any help in pointing us in the right direction would be appreciated.