Billing for wound care is not general billing with a different code set. Debridement coded by depth and surface area, with skin substitute application billed separately by product and size.
Skin substitutes carry per-product coverage policies and quantity limits that differ sharply between contractors and plans.
At a glance
What drives the coding
Debridement coded by depth and surface area, with skin substitute application billed separately by product and size.
What drives the payer behavior
Skin substitutes carry per-product coverage policies and quantity limits that differ sharply between contractors and plans.
Coding
Assigned by certified coders from your documentation.
Reporting
Denials segmented by reason, payer, and provider.
Where wound care claims actually fail
- Debridement depth not documented
- Skin substitute product not covered under local policy
- Wound measurements missing from the note
How we work it
We code from what your record documents and query you when it does not support a code, which in wound care is where most of the avoidable exposure sits.
Denials are worked by cause rather than in queue order, so the same failure stops recurring instead of being re-worked every month.
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at your current wound care denials and aging.
Scope
A written scope and price before any work starts.
Transition
Coding and submission move across without a gap.
Report
Denial causes reported monthly, segmented by payer.
Wound Care — Frequently Asked Questions
Do you have coders who know wound care?
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Yes. All coding is performed by certified coders, and specialty assignment is deliberate — debridement coded by depth and surface area, with skin substitute application billed separately by product and size.
Do you guarantee we will collect more?
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No, and nobody honestly can. Payment is decided by the payer. What we commit to is the process and the six numbers we report, which you can check against your own system.
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