Best Wound Care Billing Services in Maryland
Outsource wound care billing solutions today to increase your revenue by 2x and minimize claim denials by 50%. We offer specialized wound care RCM services to all providers seeking certified medical billing experts.
Wound Care Billing: What’s The Big Deal?
Wound care medical practice involves treating severe wounds, cuts, skin burns, pressure ulcers, etc. Due to complexity of symptoms, location and type of treatment offered, wound care coding is a constant headache for medical coders if they lack skills necessary for appropriately coding provider’s services.
As a prestigious wound care revenue cycle services provider in Maryland, we understand your practice needs medical billing experts who are conversant in nuances of this specialty’s billing codes to help you get paid without leaving your hard earned money on the table. We help injury care medical practitioners in creating and submitting medical claims always on time. Additionally, we minimize billing and coding errors, helping you in recovering reimbursement with ease and efficiency.
Our Superlative Wound Care Medical Billing Services
Insurance Eligibility Verification
Prompt insurance eligibility verifications facilitate wound care treatments without any delay.
Prior Authorization Management
We obtain prior-authorization on all medical necessities cases for faster billing process.
Wound Care Coding Services
AHIMA & AAPC-certified coding compliance ensures aCPT, ICD-10 and HCPCS coding standards are followed.
Claims Submission
We offer prompt claim submission within 24-hours to increase financial health of medical practices.
Payment Posting
Timely payment posting and reconciliation to ensure insurance companies pay full reimbursements.
Denial Management and Appeals
Our wound care billing services include comprehensive root-cause analysis of denials and appeal management.
Accounts Receivable (AR) Management
Dedicated AR managers recover all past dues from patients and insurance companies.
Patient Billing and Statements
Error-free patient billing solutions enable providers to charge their services appropriately and get paid.
Provider Credentialing Services
Reliable credentialing, enrollment and contracting services for providers, helping in expansion of patient care.
Medical Documentation Review and Audits
Exceptional wound care medical documentation identifies areas for improvement through rigorous audits.
Compliance and Regulatory Support
HIPAA-compliant wound care services ensure regulatory compliance at levels of revenue cycle management.
Reporting and Analytics
Periodic RCM analytic reporting is provided to healthcare professionals to facilitate informed decision making.
Common Challenges of Wound Care Billing
Coding Issues
One of the biggest challenges in wound care billing is appropriate use of valid CPT, ICD-10, and HCPCS coding standards. In order to support injury care clinics/hospitals we use the latest CPT coding for wound assessments, debridement, dressing changes. ICD-10 coding for wound diagnoses (e.g., pressure ulcers, diabetic ulcers, venous stasis ulcers). HCPCS coding for supplies (e.g., skin substitutes, dressings, negative pressure wound therapy devices). And, use of appropriate modifiers (e.g., 59, 25, 76).
Documentation Demands
The second challenge is gathering adequate documentation including detailed clinical notes about wound depth, location, type and related complications. RCM teams also have to provide associated treatment plans, progress and likely outcome in tentative time to justify the need for covered treatment. We understand every insurance company requires these documents to process medical claims based on the health insurance coverage criteria. We strictly follow the guidelines of all commercial and government payers to help you increase revenue.
Inadequate Verification and Prior Authorization
The third challenge wound care practice faces is inadequate insurance verification and failure to obtain prior authorizations from insurance companies due to time constraints and shortage of professional billing staff. We have a dedicated staff of over 1200+ wound care coders and billers that offer prompt evaluation and management of insurance eligibility verifications. Beside verifying eligibility criteria, we also obtain prior authorization 24-48 hours in advance on complicated treatments such as necrotic tissues and its full treatment.
Lack of Trained Staff
The fourth and biggest challenge is lack of trained injury care revenue cycle management staff in the industry that puts a lot of burden on medical practices causing the majority of hard claim denials resulting from use of invalid codes, upcoding, downcoding, demographic errors and providing medical care without properly checking insurance coverage. Our medical billing services include AHIMA/AAPC certified codes and professional medical billers to help you maximize reimbursement from medical claims without going through deductions.
Why Choose Maryland Wound Billing Solutions?
Tailored Solutions
We offer wound care medical billing services tailored specifically to meet your needs and expectations. These RCM solutions help you highlight areas for improvements and revenue leakages, and increase revenue by 50% rapidly.
Experienced Team
Our 1200+ team of wound care billers and coders comprises some of the best and brightest talent of the industry. We assign seasoned professionals to your case to ensure maximization of revenue with ease.
End-to-End RCM
We provide comprehensive wound care RCM solutions starting from patient registration, medical coding, billing, insurance eligibility checks, prior authorization, payment posting, managing claim denials and filing timely appeals. This makes us an authentic end-to-end billing services provider.
Real-Time Reporting
We provide real-time RCM data analytics and reporting to all wound care specialty practices in Maryland. Our advanced KPI dashboard provides round the clock information about your practice’s financial health, helping you make informed decisions.
Benefits of Outsourcing Wound Care Medical Billing Services to Us
Reasonable Pricing- HIPAA-compliant Data Safety
- Top-Quality Wound Care Billing Services
- Quicker 24-hour Turn-Around
- Team of 1200+ Billing/Auditing Experts
- 98% First-pass Claim Acceptance Rate
- 24-hour EHR/EMR Integration Support
- 100% Medicare & Medicaid Compliance
- Maryland insurance payer expertise
- Audit Support & Coding Reviews
