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Frequent Questions
Despite the complexities of wound care treatment, AMT has the answers to questions that concern you most.
We make money every month from Medicare for our Part B billing.
Why should we let your company do the billing?
Many companies receive a monthly reimbursement check from Medicare. However, relatively few companies do an actual cost analysis to determine their expenditures versus reimbursement. Typically, we find that most facilities are spending considerably more money than Medicare is reimbursing them. We can help in your decision by doing an analysis of your wound care practices and cross checking billable products against money reimbursed from Medicare Part B.
Following this type of analysis, many of our clients have realized that they are tying up hundreds, if not thousands, of dollars every month in shipping/receivables. Once these product costs are eliminated from your budget, this can considerably increase your available funds each month depending on the number of residents in your facility that qualify for our program.
We have an exclusive buying contract with “Company X.”
How can we utilize your program?
Because you do not purchase any products from our company, you do not violate your current buying contracts. You continue to purchase all of your supplies for Part A residents under the same exclusive buying agreement. However, we can provide dressing supplies for your Part B residents, billing the resident’s Medicare Part B Benefits, saving your facility additional dollars by removing the cost of those supplies from your budget. By working with American Medical Technologies, you can continue to enjoy the benefits of low purchase prices with your exclusive buying contract. However, you would purchase fewer products.
We have Medicare A patients with wounds.
Do you provide dressings for these patients as well?
Medicare rules require that all dressings must be provided under RUGs payments for all Medicare Part A patients. However, we will make recommendations for protocols and products for all of your residents regardless of payor class.
Will the facility or resident’s family be billed?
As an experienced billing company, and Participating Medicare Provider, we recognize and accept the risk that we may be denied for claims. We hold harmless the resident, resident’s family, and facility for any denied claims and are required to follow the Medicare Appeals Process to recoup denied charges.
Which products do you use?
As a distributor, we are not bound to any single company. We are able to search out the best products on the market, and individualize the protocols to meet the specific needs of your resident. To do this, we will use many name brand products that you recognize, and some less familiar name brands, but are always of the highest quality and standards for your residents.
Also, many products on the market today are not reimbursable by Medicare. The only products we are able to supply are those approved by Medicare. This may mean that some of the “newer” dressings (while available to purchase) are not billable under Medicare. If your resident requires something that is not reimbursed by Medicare, we will work with your facility and the physician to ensure the best possible treatment for your resident.
We do not have many wound residents.
Do we still qualify for your program?
We recognize that you may not have many wound residents in your facility today. Often, facilities are reluctant to accept new admissions with serious wounds because of the increased costs in supplies. By eliminating the concern of higher costs associated with wound dressings, many facilities are more willing to admit these individuals. Our goal is to build a relationship with your facility and to help meet the needs of your present and future residents.
Our resident’s wounds are not that bad.
We really do not need clinical support to help heal our residents with wounds.
Why should we utilize your program?
If your clinical staff is comfortable with wound management, we still have services that can be extremely beneficial: We are available for educational support for any difficult cases, or atypical wounds; we provide supplemental documentation to support your treatment plans; we provide quarterly educational offerings for your staff; we can provide supplemental documents for CQI/QA reports for state surveys; and we will reduce costs to your facility. This program is at no cost to your residents or your facility.
We already use an outside billing company.
Why should we switch?
If you are currently utilizing an outside billing company, you are already familiar with the concept employed by our company. However, we provide licensed clinicians, who specialize in wound management, as the clinical support to your facility. These clinicians are instrumental in helping educate your clinicians as to the most appropriate Medicare Approved Protocols for each resident. They are also responsible for generating the paperwork required for reimbursement. This means less paperwork for your staff, and more time for resident care.
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