Med Claims handles the coding, claims, and collections for wound care practices across the USA, so you can focus on healing patients, not chasing payments. From debridements and skin grafts to negative pressure wound therapy, our certified billing specialists know your procedures inside out.
Wound care procedures carry some of the most nuanced billing codes in medicine. A miscoded debridement, wrong depth, wrong surface area, or wrong tissue type can trigger an automatic denial. An underdocumented graft can become an audit. Negative pressure wound therapy billed outside payer-specific guidelines gets rejected before a human even reviews it.
General billing companies handle wound care the same way they handle any other specialty. That means missed revenue, avoidable denials, and claim cycles that stretch for months.
We manage your entire revenue cycle, so nothing falls through the cracks.
Our AAPC-certified coders apply accurate CPT, HCPCS, and ICD-10 codes to every wound care procedure, including debridements by depth and tissue type, split-thickness and full-thickness grafts, bioengineered skin substitutes, NPWT, hyperbaric oxygen therapy, and more. Accuracy on the first submission is our standard.
Before a patient is ever treated, we confirm active coverage, wound care benefits, and any pre-authorization requirements. No surprises at billing time.
Claims go out within 24 hours of documentation receipt. We track every submission through your payer's adjudication process and intervene before delays become denials.
When a claim is denied, we don't file it away. We analyze the denial reason, correct the root issue, and submit a documented appeal to recover revenue that most practices write off.
We follow up on every outstanding balance with insurers and patients using a systematic, respectful collections process that protects both your revenue and your patient relationships.
You receive detailed weekly and monthly reports: claim acceptance rates, denial trends, average days in A/R, and collections performance. No surprises, no black boxes at all.
Most billing errors happen upstream in documentation, coding selection, or payer rule mismatches. Our Clean Claim Protocol addresses all three before a claim is ever submitted.
We review clinical notes against procedure codes to ensure every billed service is supported and defensible.
Medicare, Medicaid, and commercial payers each apply different rules to the same wound care codes. We map every claim to the specific payer's requirements before submission.
Every claim passes through our scrubbing engine to catch modifiers, units, and diagnosis linkage errors before they reach the clearinghouse.
We reconcile every remittance against expected reimbursement and flag underpayments for follow-up.
You're already wearing too many hats. Let us take billing completely off your plate. Our onboarding is straightforward. Our team becomes an extension of yours, and you'll see cleaner claims from week one.
We standardize billing protocols across every location while maintaining visibility into each site's performance. One team, consistent results, consolidated reporting.
Complex payer mixes, facility vs. professional billing, and compliance requirements, we handle them all. Our coders are experienced in both institutional (UB-04) and professional (CMS-1500) claim types.
Claims submitted within 24 hours. Systematic follow-up on every outstanding balance. Your cash flow improves measurably, not theoretically.
Our Clean Claim Protocol catches errors before submission. Our average first-pass acceptance rate consistently outperforms the industry standard
No hiring, no training, no turnover disruption at all. We integrate with your existing EHR and handle the entire back office, including patient registration, verification, posting, and follow-up.
Every code we submit is backed by documentation and defensible under payer scrutiny. We stay current on Medicare LCD policies, payer bulletins, and CMS guideline updates, so you don't have to.
You always know where your revenue stands. Our reporting dashboards give you claim-level visibility without requiring you to understand billing jargon.
Whether you're opening a second location or adding new procedures, our team adapts. No renegotiating contracts. No starting over at all.
We review your current claims, denial patterns, and coding practices. You'll receive a written report identifying revenue leakage and specific areas for improvement with no obligation to proceed.
We connect with your EHR, review your payer contracts, and assign a dedicated account manager to your practice. Your staff won't be burdened with a complex transition.
Claims go out under our Clean Claim Protocol. Your account manager provides weekly updates and is reachable directly, not through a support ticket.
We review your billing performance monthly, adjust coding strategies based on payer behavior, and proactively flag changes in wound care billing guidelines before they affect your claims.
Med Claims integrates with leading EHR platforms. No migration, no disruption, no retraining your staff.
Don’t see your EHR? Contact us. We likely support it.
All patient data is handled in full accordance with HIPAA regulations. Our systems, workflows, and staff protocols are designed to protect PHI at every stage of the billing process.
Our coders hold active credentials from AAPC and AHIMA, with specialty training in wound care procedure coding and documentation standards.
Every claim we submit is supported by complete, defensible documentation and is prepared to withstand payer audit, RAC review, or OIG scrutiny.
We bill for the full spectrum of wound care, including:
If your practice performs it, we bill it accurately.
We maintain an internal payer rule library that is updated continuously as Medicare LCDs, Medicaid policies, and commercial payer guidelines change. Every claim is mapped to the specific payer before submission, not submitted under a generic coding approach and corrected after.
Yes. We support most major EHR platforms used in wound care settings. During onboarding, we handle the integration setup. Your clinical team continues working exactly as they do now.
Within 24 hours of receiving complete documentation. If documentation is incomplete, we contact your staff immediately rather than holding the claim indefinitely.
We analyze the denial reason, correct the root cause, and submit a documented appeal. We track every denied claim through resolution. We do not write off denials without exhausting appeal options.
Wound care billing has a level of procedural and documentation complexity that general billing companies are not equipped to handle consistently. Our coders specialize in wound care. Our processes are built around it.
Most wound care practices are leaving 10 to 20% of collectible revenue on the table through coding errors, underbilling, and unworked denials. Our free billing audit identifies exactly where yours is leaking and what it would take to recover it.
There is no obligation and no sales pitch. Just a clear, written analysis of your current billing performance and what we would do differently.