Get Started Today!
Getting started is fast and simple. Just download the new provider forms and send them back to us when you are ready.
Here’s everything you need to ensure a smooth and protected onboarding experience:
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1. Review Medicare Coverage Guidelines for Skin Substitute Grafts & Tissue Based Products
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Official LCD and LCA Documents:
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These documents provide detailed information on coverage indications, limitations, documentation requirements, and billing guidance specific to Florida.
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- Download these Local Coverage Determination (LCD) documents that summarizes and outlines Medicare billing requirements for skin substitutes and amniotic allografts:
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Use these as your guide to ensure compliance with Medicare’s policies on amniotic allograft use in wound care.
Download - Novitas LCD Information
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Download - Billing & Coding Guide: Skin Substitute Grafts for DFUs & VLUs (FCSO – Florida)
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2. Review Wound Care CPT, ICD-10, and Billing Code Reference Guide
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- This comprehensive coding reference sheet includes the most commonly used CPT procedure codes, ICD-10 diagnosis codes, and billing modifiers for advanced wound care, including the application of amniotic skin substitutes.
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It’s designed to help providers and billing staff submit clean, compliant claims and includes site-specific codes for diabetic ulcers, venous leg ulcers, pressure injuries, and non-pressure chronic wounds, along with reimbursement values and documentation tips.
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3. Fill Out New Account Form
- Before placing any orders, make sure you complete the New Account Registration Form.
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4. Pre-Approvals via RMBB’s IVR System
- Every graft must receive pre-approval through RMBB’s IVR system before application.
This is a critical step in the billing process.
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5. Provider Portal
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- Providers can register and track the status of their IVRs in real-time using RMBB’s Provider Portal.
This is an excellent resource to help your clinic stay updated without needing to reach out to anyone for status checks:
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6. Order Submission
Once pre-approval is confirmed, orders should be sent to: orders@alteragrp.com.
Our fulfillment team is fast, reliable, and sends tracking information as soon as it’s available.
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7. Download All Required Forms
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You can access all key documents here:
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