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Pressure ulcers, wounds, deep wounds, pressure sores, bed sores, pressure wounds. There are many names for pressure ulcers, but they all form under the same circumstances and follow the same treatment plan, no matter how your doctor names the condition.
Every year, Medicare identifies a list of "Never Events," conditions that are identifiable, measurable, and preventable. Pressure ulcers are deemed a Never Event. As a result, Medicare will no longer pay for the extra cost of treating patients pressure ulcers incurred in hospitals, meaning that facilities with high incidences of pressure ulcers could see their quality scores go down.
Pressure ulcers and wounds can develop in as little as one week. Taking the appropriate steps in advance to reduce the risk of pressure ulcers is the best way to prevent expensive wounds before they happen.
Low Air Loss Mattresses are primarily categorized by Medicare as a pressure ulcer treatment product, but they can also serve the preventative goal of stopping pressure ulcers from worsening. These mattresses use advanced an advanced rotation technology consisting of rows of inflatable mattress tubes. After fully inflating in only a few minutes, the mattress alternates between each row of tubes, mimicking a patient shifting in bed or being rotated by a doctor or nurse.
Low Air Loss Mattresses are absolutely essential for patients with a Stage III wound or multiple Stage II wounds and provide the most comprehensive treatment for pressure ulcers and wounds.
Gel Mattress Overlays can be put on any bed and provide an essential barrier between patients and the surfaces they're bound to regularly. Incontinent patients with mobility limitations may be particularly susceptible to pressure ulcers due to moisture. Moisture can exaggerate and hasten skin breakdown, leading to more pressure ulcers that form faster. You do not have to order a hospital bed in order to get a gel mattress overlay, as these mattresses fit on beds of all types.
Moisture reduction can be an important part of preventing pressure ulcers. Many patients who qualify for a wheelchair will also qualify for skin protection condition with special moisture-reducing technology that enables the patient's skin to stay dry and free from breakdown or infection. Read on below to see what conditions and codes qualify for a skin protection cushion. If your patient doesn't qualify for a skin protection cushion, don't worry, all patients who qualify for a wheelchair qualify for a general use cushion.
Humans spend over a third of our lives asleep. For patient's recovering from acute conditions or who suffer from other afflictions, this ratio could become even more exaggerated. It's absolutely essential that patients spending extended amounts of time in bed have a bed that's comfortable. Our gel overlays provide an extra added layer of comfort to any mattress, similar to the levels of comfort a mattress pad might provide.
Yet, unlike a mattress pad, our gel overlays provide a medically proven and are engineered with evidence-based practice in mind. A gel overlay will not only provide you with essential feelings of comfort, but you'll also have the absolute best in pressure-reducing ulcer prevention technology and moisture management.
Documenting medical necessity for low air loss mattresses can be trickier than documenting for other pieces of medical equipment. In fact, Low Air Loss Mattresses also have one of the highest Medicare rejection rates for insufficient documentation. Make sure to follow the guidelines below as closely as you possibly can in order to make the procedure as smooth as possible.
Medical documentation must include:
Frequent Changes in Body Position
Need for Elevation
Medical Condition Requiring Frequent Changes in Body Position
Changes in Body Position to Alleviate Pain
The Need for Traction Equipment
Make sure to indicate the following:
Wound Prevention/Treatment Plan Including:
In addition, the medical chart must document one of the following three scenarios: