Wound Care
Skin substitute reimbursement, debridement upcoding, and Medicare prepayment review for wound care providers.
Wound Care Telehealth and Remote Assessment Limits
What Medicare covers for wound care telehealth, why debridement stays in-person, and how hybrid practices should document each vis…
Wound Care Nurse Practitioner Billing Compliance
Independent versus incident-to billing for wound care NPs, and why the billing method must match your state's scope-of-practice la…
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…