Debridement Depth Coding: The One-Digit Mistake Draining Wound Center Revenue

Debridement depth coding means choosing a CPT code for the deepest layer of tissue actually removed, not for how deep the wound looks. Subcutaneous tissue goes to 11042, muscle or fascia to 11043, and bone to 11044. Surface work above the subcutaneous layer belongs in the 97597 range. When documentation doesn’t name the tissue removed, […]

If Your Wound Care Practice Collects $100K to $150K a Month, Here’s What Your Denial Report Isn’t Showing You

Wound Care Denial Management for $100K-$150K/Month Practices | MBC

If your wound care practice sits in the $100K to $150K monthly insurance collection range, you’re at exactly the size where unworked denials do the most damage and get noticed the least. You’re large enough that no single person can track every claim by hand, but not yet large enough to have a dedicated team […]

Is Your Wound Care Group’s Denial Rate Hiding a Six-Figure Appeal Problem?

Yes, if your group is only tracking denial rate and not tracking what happens to those claims afterward. A multi-provider wound care group can post a completely normal denial rate and still be sitting on $100K to $250K a year in denied claims that were technically recoverable but never got worked to resolution before the […]

Is Graft Application Billing Keeping Up With the CTP Rule Change?

Graft application billing has not kept pace with the CTP rule change for most wound care groups, and the gap shows up as underpayment on every claim still coded and documented the old way. CMS restructured how cellular and tissue-based products (CTPs) are paid under the CY 2026 Physician Fee Schedule Final Rule, moving most […]

Is Your Skin Substitute Billing Compliant With CMS’s New Rate?

No, your skin substitute billing is likely not compliant if you are still coding and pricing products under the old per-product ASP methodology. Effective January 1, 2026, CMS replaced individual product-based payment with a single flat national rate of $127.14 per square centimeter for most skin substitutes used in physician offices and hospital outpatient departments. […]

Building a Better Wound Care Revenue Cycle Model

A strong Wound Care Revenue Cycle Model is the system a clinic uses to turn patient care into paid claims, covering everything from insurance verification and coding to denial appeals and collections. In 2026, this system matters more than ever because Medicare has rewritten the rules for how skin substitutes, debridement, and hyperbaric therapy get […]

AR Cleanup for Wound Care Groups: Fixing the Specificity Errors Draining Multi-Site Margins

AR Cleanup for Wound Care Groups starts with one uncomfortable fact: most aged receivables in wound care don’t come from bad debridement technique. They come from unspecified ICD-10 codes that never should have left the coding queue. If your multi-site group is sitting on 90+ day AR that keeps growing even as case volume climbs, […]

How to Choose RCM Services for Multi-Site Wound Care Groups?

The right RCM Services for Multi-Site Wound Care Groups combine wound-certified coders, cross-location denial tracking, and real-time compliance with the CMS CY 2026 skin substitute rule — a vendor that can’t show depth-based debridement accuracy, MAC-specific LCD handling across every state, and a Net Collection Ratio above 94% isn’t built for multi-site complexity. If you […]

How Do You Fix Wound Care Billing Problems Before They Cost You Q3 Revenue?

Wound care billing problems cost the average wound care practice between $80,000 and $200,000 per year in denied claims, undercaptured supply charges, and documentation-driven write-offs. The fix starts before Q3 — with a real-time audit of your coding accuracy, LCD compliance, and payer-specific denial patterns. Here is exactly how to do it. Why Wound Care […]

How Do You Know If Your Wound Care Revenue Cycle Is Losing Money at Mid-Year?

If patient volume is steady but collections feel flat, your wound care revenue cycle is likely losing money right now — and mid-year is exactly when most practices find out. The gap between what your clinicians bill and what actually gets collected rarely comes from a single broken process. It builds quietly: one denied CTP […]

We Excel In

We Dominate Over

Our Reach

Insightful Blogs

Interesting Reads

Wound Care Billing Services