Wound Care Billing Services

Accurate, Compliant, and Results-Driven Billing for Wound Care Specialists

Medix Revenue Group delivers intelligent, specialty-driven Wound Care Billing Services that help wound care providers across the U.S. increase reimbursements by up to 30%, cut denials by 40%, and improve cash flow in as little as 90 days.

Whether your facility provides chronic wound management, hyperbaric oxygen therapy (HBOT), or skin substitute applications, our expert team handles your billing with surgical accuracy — ensuring every CPT, ICD-10, and HCPCS code is clean, compliant, and paid promptly.

Why Wound Care Billing Is So Complex

Why Wound Care Billing Is So Complex

Over 45% of wound care claims are denied on the first submission due to improper coding or lack of supporting documentation.

Practices lose $90,000–$120,000 annually on preventable billing errors in wound care alone.

The wound care specialty encompasses a range of surgical, non-surgical, and regenerative procedures, each with distinct billing rules. Billing errors in this domain often result from:

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Misuse of CPT codes for debridement and skin grafts

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Incorrect application of modifiers and global periods

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Delayed or missing prior authorizations for HBO therapy

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Incomplete medical necessity documentation

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Overlapping services in facility-based vs. physician billing

Medix Revenue Group eliminates those losses with proven expertise in medical coding, insurance verification, and claims management tailored to wound care billing.

Our End-to-End Wound Care Billing Services

Our billing suite is customized for hospital-based wound care departments, ambulatory clinics, home health agencies, and independent providers.

Medical Coding & Documentation

Specialty-specific CPT, ICD-10, and HCPCS coding for:

  • Sharp, enzymatic, autolytic, and surgical debridement
  • Wound vac therapy (NPWT)
  • Biologic skin substitute grafting
  • Hyperbaric oxygen therapy

Comprehensive coding audits to ensure compliance and clean claim submission

Claims Submission & Denial Management

  • 98% clean claim rate within the first submission cycle
  • Realtime claim status tracking
  • Full-service denial analysis, appeal filing, and underpayment recovery

Eligibility Checks & Prior Authorization

  • Pre-verification of insurance coverage, including Medicare & commercial payers
  • Realtime benefit checks for high-cost procedures like HBO therapy and skin grafts

Payment Posting & A/R Management

  • Timely and accurate payment posting
  • Follow-up on aging accounts receivable to improve collections

Compliance & Reporting

  • Regular audits to ensure compliance with Medicare LCDs and payer rules
  • Custom reports on KPIs: denial rate, reimbursement turnaround, and billing cycle time
Who We Serve

Who We Serve

No matter your setting, we know wound care billing. We proudly support a wide range of wound care providers, including:

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Outpatient wound care centers

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Hospital-based wound care departments

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Long-term care and SNF wound management programs

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Home health agencies with chronic wound services

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Private clinics and mobile wound care teams

Our services are fully scalable — whether you're billing 50 claims per month or 500+.

Areas We Serve

we proudly serve wound care practices in:

  • Connecticut
  • New York
  • New Jersey
  • Florida
  • California
  • Texas
  • Illinois
  • Massachusetts
  • Georgia
  • Pennsylvania
  • Arizona
  • North Carolina
  • Wyoming

Technology That Works with Your Systems

We integrate with your preferred Electronic Health Record (EHR), Electronic Medical Record (EMR), and medical billing software, enabling seamless coordination without disrupting your workflow. Compatible platforms include:

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Why Medix Revenue Group Is the Right Fit

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Specialty-Trained Billing Staff: Experts in wound care reimbursement rules and LCDs

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Proven Track Record: Serving wound care providers for over a decade

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HIPAA-Compliant: Fully secure handling of all patient data and records

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Dedicated Account Managers: One point of contact, total transparency

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Advanced Analytics: Make data-driven financial decisions

Why Choose Medix Revenue Group for AR Follow-Up

Ready to Elevate Your Wound Care Billing?

Let’s help you increase your collections, reduce denials, and finally get paid what
you deserve — faster and more consistently.