Wound Care Billing Services
Our specialized wound care billing services are designed to reduce administrative burdens, minimize errors, and
ensure timely reimbursements. Whether you run a small practice or a large healthcare facility, our expert team has a
proven track record of achieving 90% collection ratios and improving cash flow.
Wound Care Is Complex For Several Reasons
Outpatient wound care coding is complex for several reasons. One is that it may take place in different kinds of facilities, even for a single patient, treating the same wound, such as when a hospital patient is released and wound care continues at an outpatient center. Each encounter must be billed correctly, including the code details indicating which location was used. This complexity is further compounded when wound care involves specialties such as internal medicine, general surgery, and infectious disease.
Rising Cost And Budget Cuts
In today’s financial climate, with costs rising and budgets being cut, it is especially important to have effective medical billing so that all claims are properly reimbursed. Most practices that don’t have specialists managing their coding and billing are losing significant amounts of revenue.
Top Reasons to Outsource Wound Care Billing
Medical codes are complicated and on top of that, they change every year, making it extremely difficult for staff in medical practice to keep up, which results in expensive errors. Outsourcing to a professional revenue cycle management (RCM) company like MedCare MSO ensures that you receive the highest possible reimbursement. These are three of the reasons it is especially beneficial for wound care centers to outsource medical billing.
Referrals
Most wound care patients arrive through referrals, and while the referring physician’s office often checks insurance coverage, it’s important not to rely on that. Each time a new patient schedules an appointment, the wound care center must independently verify their insurance coverage.
Rising Costs And Lowered Reimbursements
Wound care supplies include some very expensive products, such as cellular and/or tissue-based products for skin wounds, but reimbursements are going down. This means it is vital that every service delivered is properly coded and billed so there is no lost revenue due to claim rejections and denials.
Prior Authorization
Many insurers and payers require prior authorization for treatment and will reject a claim that isn’t authorized in their system, even if it is something they would have authorized and paid, so it is important to find out about authorizations when confirming that the exam/visit is covered. Wound care also may be ongoing over a period of time and require additional authorizations, so staff must be proactive and attentive to such limitations.
Outsourcing Medical Billing to NextGen Billing Solution
Protects Your Revenue
Outsourcing Medical Billing
Outsourcing medical billing has proven to be a low cost way to increase revenue. All our staff are trained in HIPAA compliance to ensure your patient information is safe, and we have certified billers who are experienced in wound care billing and coding. An additional, and perhaps an even greater, benefit of having us take care of all the billing and coding hassles is a tremendous reduction in stress for physicians. Our clients report finding their practice enjoyable once again.
We Are Dedicated To Medical Revenue Cycle Management
NextGen Billing Solution specializes in comprehensive medical revenue cycle management (RCM). While billing remains the core focus, the platform provides a fully customized suite of services tailored to each healthcare provider’s needs. With advanced proprietary software, every claim is submitted using the latest coding updates to ensure maximum accuracy and faster reimbursements. The solution also handles payer credentialing, compliance reviews, annual payer adjustments, and payback management—streamlining every aspect of your financial workflow.
Get a free demo today and let us show you how we can increase your bottom line and let you get back to focusing on patient care.