Simplifying Ordering Wound Care Products:
Since most chronic wounds can take at least 30-60 days to heal, Medicare allows for a 30 day / daily change of dressings for most wound products. However some physicians only order an every other day change for two weeks yielding a quantity of 7 dressings or less and two to three times the paper work/faxing/shipping/billing cost before the wound is healed.
Insurance Reimbursement When Recommending Wound Care Products to Patients:
- A patient does not have to have a lot of edema. Hemositerin staining is an indication of a compromised venous system. Early treatment is essential to prevent worsening of the condition.
- Stockings are only a maintenance modality. The compression pump is a treatment modality. The two should be used in conjunction with one another.
- A compression pump helps exercise a compromised vascular system.
- Patients with Venous Insufficiency will inevitably develop secondary Lymphedema. The vascular system overflows into the lymphatic system. Again- early treatment is essential.
- A history of deep vein thrombosis (DVT) is an indication for a pump. The more venous pooling a patient has, the higher the risk for developing recurrent clots.
- Recurrent cellulitis in venous disease is related to the protein rich fluids that have third spaced into the tissue making an ideal breeding ground for bacteria. After 72 hours of antibiotic treatment for cellulitis, a pump can be safely used. The use of a pump can greatly reduce the rate of recurrence of cellulitis.
- The average hospital stay for IV treatment of cellulitis is 7-10 days, with each day incurring an expense of about $7,000. That is $49,000-$70,000 per hospitalization. Patients with recurrent cellulitis are hospitalized an average of 2-4 times annually. On the conservative end, this reflects a cost of $98,000+ annually.
- Patients who are non-compliant with stockings are often more compliant with a pump due to the simplicity of its use.