MBS for Physicians
Wound Care
Billing Services
Optimize Your Practice Revenue & Billing Efficiency
Getting Started
Wound care has gained new importance as a healthcare discipline, particularly due to the increasing aging population in the U.S. A significant portion of this population suffers from conditions that leave them vulnerable to wounds requiring long-term care.
This presents a challenge to healthcare providers, as not all wound care treatments are covered by insurance. Those that are covered require extensive administrative work, such as detailed documentation of the medical treatment to establish insurance eligibility. This involves ensuring that the treatment was provided under the supervision of a physician when necessary and that the claims meet the specific criteria set by insurance providers.
Before preparing and submitting claims, healthcare providers must first determine if the wound treatment is covered by Medicare and Medicaid (CMS). This requires not only knowledge of medical necessities but also a clear understanding of the insurance coverage requirements.
Medical Billing At A Glance
Discover key insights that reflect our dedication to efficient coding practices and maximized reimbursement outcomes.
Claims Processing Metrics
First Pass Resolution Rate
Percentage of claims paid successfully on first submission.
Average Days to Payment
Average number of days it takes for claims to be paid, typically within 21 days.
Financial Metrics
Net Collection Rate
Percentage of total charges collected successfully.
Denial Resolution Velocity
Average number of days taken to fix and resolve a denied claim, typically within 30 days.
Operational Metrics
Average Monthly Claims
Volume of claims submitted.
Staff Productivity Rate
Claims processed per biller per day.
Wound Care Billing Services
Maximizing Claim Accuracy and Compliance for Superior Revenue Performance.
At MBS, we recognize that effective billing for wound care demands thorough documentation to confirm insurance eligibility. This ensures that the treatment was recommended and supervised by a physician, when necessary.
Maintaining compliance with insurance regulations.
Supporting specialized, extended wound care requirements.
Ensuring adherence to payer-specific policies.
Providing comprehensive support for long-term wound care needs.
Maximizing insurance reimbursements through accurate documentation.
Facilitating smooth claim processing for complex wound care services.
Before submitting claims, care providers must verify whether the wound treatment is eligible for reimbursement under Medicare, Medicaid (CMS), or other insurance policies. MBS’s billing and coding specialists carefully assess insurance coverage guidelines and ensure full compliance to maximize eligibility.
The specialists take proactive steps to obtain prior authorization when required and ensure pre-authorization for all insurance payers, helping reduce claim denials and expedite reimbursements.
- Verifies Medicare/Medicaid reimbursement eligibility.
- Ensures alignment with payer-specific coverage policies.
Wound care billing presents administrative hurdles, such as handling documentation, verifying eligibility, and meeting insurance requirements.
Our expert team at MBS carefully documents all the accurate details of the treatment episode and submits them to avoid claim denials and delays.
Ensures precise documentation & specialized coding for accuracy.
Reduces denials with thorough and accurate claim submission.
MBS offers comprehensive outsourcing options, allowing providers to fully transfer billing and coding duties to our experienced team. This enables healthcare providers to focus on patient care, freeing them from time-consuming administrative tasks.
Our outsourced services are adaptable to fit the needs of facilities of any size, whether large hospitals or independent practitioners.
Providing end-to-end billing & coding solutions.
Enabling providers to focus on patient care, not admin tasks.
MBS consulting services streamline in-house revenue processes by eliminating outdated methods, recommending updated software, and identifying training needs.
We help prevent revenue leakage and optimize claim accuracy, minimizing rejections while enhancing internal team efficiency.
Streamlining revenue processes and preventing leakage.
Enhancing claim precision and staff efficiency.
MBS’s solutions for wound care billing have helped healthcare providers nationwide optimize revenue cycles and improve claim success rates. With our support, providers can either adopt a streamlined in-house process with well-trained staff or fully outsource to focus entirely on patient care.
Our services ensure smooth insurance handling, boost revenue, and reduce administrative burdens.
Boosting revenue cycle performance.
Reducing administrative workload and overhead.