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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