Wound Care Billing
Your Cash Flow, Our Priority
At PractiSynergy, we are trusted experts recognized by skin substitute manufacturers and distributors for our proficiency in coding, billing, and documentation for advanced wound care and skin graft procedures.
We go beyond simply submitting claims. Our mission is to ensure full compliance with Medicare and other payer documentation requirements. This compliance minimizes the risk of insurance clawbacks, protecting your clinic’s financial health.
Complexities of Wound Care
PractiSynergy provides a documentation checklist to providers showing all required elements that must be in their medical note for the skin grafts. Further education and support is provided by PractiSynergy’s certified coders to ensure the documentation is thoroughly completed PRIOR TO claim submission.
The billing team at PractiSynergy are experts at sending extremely large claims (claims > $100,000) and successfully getting them paid to providers. There are technical aspects that vary depending on the Medicare region that must be followed in order for the claims to process correctly.
PractiSynegy operates transparently providing updates to clinics about claim status or appeal statuses. Claim denials are reviewed and corrected or appealed by PractiSynergy staff within five days of receipt to ensure submission timeliness
Audits and Claw-Backs (Recoupments)
The coding team at PractiSynergy will review the Medicare correspondence you received and your medical notes and provide for an appeal strategy. Most claims may be appealed with corrected documentation, however, depending on the recoupment reason, appeals may not be successful. *It is also advised to consult with legal counsel when pursing large dollar appeals with Medicare
PractiSynergy’s team will support all clients through payer audits providing an extra layer of review prior to the submission of the appeal. The team will then submit the appeal on behalf of the clinic and provide a way to track the progress of the appeal.
Reasons to Outsource Your Wound Care Billing
Expertise in Complex Coding
Specialized billing companies possess in-depth knowledge of wound care coding, ensuring accuracy and compliance.
Reduction in Administrative Burden:
Delegating billing tasks allows healthcare providers to concentrate on patient care, enhancing overall efficiency.
Improved Revenue Cycle Management:
Professional billing services streamline processes, leading to faster reimbursements and reduced claim denials.
Protect Your Revenue w/ PractiSynergy
Compliance Assurance:
Adherence to the latest regulations and coding standards minimizes the risk of audits and penalties.
Enhanced Cash Flow:
Efficient billing processes lead to timely reimbursements, bolstering financial stability.
Data Security:
Robust systems safeguard sensitive patient information, ensuring confidentiality and compliance with data protection laws.
By outsourcing wound care billing to PractiSynergy, healthcare providers can navigate these complexities effectively, ensuring compliance, optimizing revenue, and focusing on delivering quality patient care.
