Wound Care Medical Billing
Most Wound Care specialists report spending at least ten hours per week completing paperwork and administrative tasks, resulting in burnout and decreased revenues.
Wound Care Billing and Coding Challenges:
It is common for family physicians to provide wound care to their patients. For wound care, it is paramount to code and bill correctly in order to ensure that appropriate payment is made and to avoid potential allegations of fraud or abuse. A challenge in this regard is determining when to report chemical cauterization of granulation tissue as opposed to debridement, particularly as it pertains to Medicare patients.
Insurance does not cover all types of wound care, and those that are covered require a series of administrative activities, such as adequate documentation and accurate coding. It is the provider's responsibility to determine whether the wound treatment falls within medical necessity guidelines and whether the patient's insurance policy covers it. Knowledge of insurance coverage policies, medical necessity guidelines, and prior authorization requirements is required in order to accomplish this task.
Key Challenges to Wound Care Billing and Coding are:
- Procedure coverage cannot be determined solely by the codes, and you must understand the rules under which these codes are used.
- Clinics often fail to provide the add-on codes for the actual code. One of the most common errors is failing to consider additional codes, such as the dimensions of the debrided area.
- Coding Wound care can be challenging due to inaccurate reporting of non-selective and selective debridement areas.
- There is another issue with reporting wound dressing separately from E/M services.
- If the patient suffers from a chronic disease, the medical records must be carefully reviewed, including the list of procedures offered to treat the wound, follow-ups, and photographs pertaining to the progress of the wound.
What You Need To Know About Wound Care Billing
Description of the wound:
Methodology of treatment:
Step-by-step instructions:
Why Outsource Wound Care billing to Wise Medical Billing (WMB)
Wound care coding and billing has become an overwhelming task for private practices due to the increasing number of patients. To achieve quality assurance measures and the highest reimbursements, wound care billing and coding should be outsourced to a specialist Wound Care Medical billing company like Wise Medical Billing.
We take care of Everything:
Expert Wound Care Billing and Coding Team:
Expert AR Management:
Fast and Easy Access to Customer Support:
As a result of the support of a qualified revenue cycle management company, such as Wise Medical Billing (WMB), you will not only reduce operating costs, but you will also improve efficiency, increase patient volume, as well as increase revenue by focusing on the patient’s needs.
Wise Medical Billing Experts understand your challenges and are at your disposal - Call us Today