Substitute Skin Graft Fraud
I just listened to a board meeting in a particular state that took place right after an oral exam I had to do in order to obtain a license in said state. They had a disciplinary meeting for a DPM who was excessively using substitute skin graft products on ulcer patients he was contracted with the VA for. I only heard the basics of the case, but he was tried and found guilty, and ultimately ordered to pay 7 million dollars to the United States. There are a couple of DPMs that we rotate with...
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Source: Student Doctor Network - March 23, 2024 Category: Universities & Medical Training Authors: MicroPod Tags: Podiatric Residents & Physicians Source Type: forums
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Source: The Student Room - July 22, 2023 Category: Universities & Medical Training Authors: thesun123 Tags: Medicine Source Type: forums
Amniotic membrane grafts for ulcers
So I'm looking into applying skin substitute grafts. I've studied the LCD and am talking to different companies. Of the money that Medicare pays for the graft, one company wants 70% of it. Another company wants 60% of it. I've heard of others who split it 50/50. Just curious what you guys are seeing regarding the split? Just to clarify, you bill the Q code per sq cm to Medicare, and they pay the practice a certain dollar amount per sq cm, then the practice pays the percentage agreed...
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Source: Student Doctor Network - January 27, 2022 Category: Universities & Medical Training Authors: Creflo Tags: Podiatric Residents & Physicians Source Type: forums
Pain S/P excision skin CA/RadioTx
92 y.o. male, who appears much younger than his stated age, S/P resection skin CA 3 years ago followed by radiotherapy and then a a skin graft. He has constant pain at site and distally. I just saw him after he has failed multiple meds including opiates. The patient isn't interested in more pills. I tried covering the wound with 1% lidocaine but that did not change his pain at all.
It looks like a combination of radiation dermatitis plus pain from the wound. When he flexes his foot tendon...
Pain S/P excision skin CA/RadioTx (Source: Student Doctor Network)
Source: Student Doctor Network - May 14, 2019 Category: Universities & Medical Training Authors: pastafan Tags: Pain Medicine Source Type: forums
