Wound Care
Skin substitute reimbursement, debridement upcoding, and Medicare prepayment review for wound care providers.
Wound Care Practice Acquisitions and Audit Liability
A wound care acquisition can inherit the seller's audit exposure. What diligence should uncover, and how the 60-day overpayment cl…
When a Wound Care Audit Becomes an FCA Case
The civil investigative demand, payment suspension, and extrapolated demand signals that mark when a wound care Medicare audit bec…
Self-Auditing Wound Care Claims Before the Payer Does
How to sample your own wound care charts, quantify extrapolated exposure, and decide between the 60-day refund rule and OIG self-d…
Podiatry Wound Care Audits
Routine foot care exclusions, at-risk exception documentation, and debridement coding standards are driving new Medicare audits of…
Responding to a Wound Care ADR From Your MAC
The 45-day deadline, chart elements MAC reviewers check, and submission mechanics for a wound care Additional Documentation Reques…
Extrapolated Overpayments in Wound Care Audits
A single flawed sample can turn a handful of wound care claims into a six-figure Medicare demand. Sample composition is where thes…
Wound Measurement Documentation That Survives Audit
Medicare's LCDs require three separate wound measurements and a documented reassessment when healing stalls. Most audit-failing ch…
Building a Wound Care Compliance Program
Chart auditing cadence, coding review, and remediation records are what turn a self-identified billing error into a correction ins…
Wound Care LCD Compliance Across MAC Jurisdictions
CMS nationalized the skin substitute payment rate for 2026, but coverage still depends on which Medicare Administrative Contractor…