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Wound Care, OT and Medicare Denial?

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Hello:

Has anyone experienced a Medicare Part B denial when outpatient OT does

wound care in an ALF? [CPT 97597]

I received one with the following explanation:

" This payment is adjusted when performed/billed by this type of provider,

by this type of provider in this type of facility, or by a provider of

this speciality "

I'm calling Medicare tomorrow but I am just wondering if anyone on the

list has experience with the above denial.

Thanks,

Ron C.

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