MBC for Physicians

Wound Care Billing Services

Optimize Your Practice Revenue &
Billing Efficiency

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Getting Started

Wound care has acquired a new significance as a healthcare discipline and due to a growing aging population in the US; a sizable portion suffer from ailments that expose them to the risk of wounds that require protracted wound care treatment.

The challenge it presents to physicians, hospitals and also to patients is that all types of wound care are not covered by insurance and the ones that are covered require a series of administrative activities, like proper documentation with accurate detailing of medical details of the treatment episode to establish insurance eligibility, which also involves maintaining and furnishing details to establish that the treatment was administered upon the advice of a physician and carried out in the physician’s presence when required.

But even before starting this cumbersome process to prepare and submit claims, care providers have to determine whether the wound treatment they are claiming reimbursement for is covered by the insurance coverage policy framed by Medicare and Medicaid (CMS), which requires familiarity not just with medical necessities but also with insurance coverage.

Medical Billing At A Glance

Explore key figures that highlight our commitment to
seamless coding and optimized reimbursement.

Claims Processing
Metrics

First Pass
Resolution Rate

Percentage of claims paid on the first submission.

Average Days to
Payment

Average number of days it takes for claims to be paid.

Financial Metrics

Net Collection
Rate

Percentage of total charges that are collected.

Average Denial
Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

Average Claims
Submitted Per Month

Volume of claims
submitted.

Staff Productivity
Rate

Claims processed per biller per day.

Wound Care Billing Services

Maximizing claim efficiency and compliance for
superior revenue management

  • Overview of Wound Care Billing
  • Insurance Eligibility & Coverage
  • Challenges in Wound Care Billing
  • Outsourced Billing & Coding Services by MBC
  • Revenue Management Consulting
  • Benefits of Partnering with MBC

Wound care has become crucial due to the growing aging population. Wound care has become crucial due to the growing aging population in the US, many of whom need long-term wound care. This field faces challenges with insurance, as not all types of wound care are covered.

At MBC, we understand that effective billing for wound care requires meticulous documentation to establish insurance eligibility. This ensures that treatment was advised and supervised by a physician when necessary.

  • Ensuring compliance with insurance requirements.
  • Supporting specialized, long-term wound care needs.
  • Ensuring compliance with insurance requirements.
  • Supporting specialized, long-term wound care needs.
  • Ensuring compliance with insurance requirements.
  • Supporting specialized, long-term wound care needs.

Mastering Every Code for
Wound Care Specialty

Our expertise spans the full code range, ensuring precision and
compliance in every claim we process

Skin Grafting

15100, 15101

Split-thickness skin graft, free, including harvest

15120,15121

Full-thickness skin graft, free, including harvest.

15200

Application of skin graft (i.e., skin grafting) to an area of injury.

G0277

Hyperbaric oxygen therapy, each 30-minute increment.

Acute Wound

97597,97598,97602

Active wound care management debridement codes for selective or non-selective debridement.

Chronic Wound

97597, 97598,97602

Active wound care management; debridement codes for selective or non selective debridement

Download Your Wound Care
Billing Guideline Here

Why Choose Us?

Analyze Practice & Benchmark

Data-driven analysis to compare and enhance your practice’s performance.

Practice Documentation SOP

Standardized operating procedures for seamless practice documentation.

Measure Results Consistently

Continuous monitoring to deliver reliable and consistent results.

Ready To Optimize Your
Wound Care Billing Process ?

Real Physicians, Real Results

Discover how physician groups thrive with us

Help Us Understand Your Requirements

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We're ready to assist with your billing and coding needs.

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