The following are some specific medical necessity guidelines for individual products when the products themselves are considered medically necessary in the individual member. The medical necessity for more frequent change of dressing should be documented in the member's medical record. Alginate or other ...
billing guidelines, reimbursement policies, and accurate use of modifiers. Surgical assistance services can be provided by a Health Care Professional other than a Physician (i.e., Physician Assistants (PA), Nurse Practitioners (NP), or Clinical Nurse Specialists (CNS) in accordance with the require...