Optimize Your Practice Revenue & Billing Efficiency
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Getting Started
Wound care has become increasingly important due to the aging U.S. population and the growing prevalence of chronic conditions requiring extended treatment. However, billing for wound care poses unique challenges—many treatments are not fully covered by insurance, and those that are require meticulous documentation to verify medical necessity and physician involvement. Care providers must first confirm coverage eligibility under Medicare and Medicaid (CMS) policies, which demands expertise in both clinical criteria and insurance regulations. Our wound care billing services help navigate these complexities, ensuring accurate claim preparation, timely submission, and maximized reimbursements.
Wound Care Billing Services
Maximizing claim efficiency and compliance for superior revenue management
Mastering Every Code for Wound Care Specialty
Our expertise spans the full code range, ensuring precision and compliance in every claim we process
Skin Grafting
15100, 15101
Split-thickness skin graft, free, including harvest
15120,15121
Full-thickness skin graft, free, including harvest.
15200
Application of skin graft (i.e., skin grafting) to an area of injury.
Acute Wound
97597,97598,97602
Active wound care management debridement codes for selective or non-selective debridement.
Chronic Wound
97597, 97598,97602
Active wound care management; debridement codes for selective or non selective debridement
Up to
27%
More cash collected
Up to
23%
Outstanding A/R collection
Up to
29%
Patient collections
Up to
$80 M
Charges billed last year
Medical Billing At A Glance
Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.
Claims Processing Metrics
96%
First Pass Resolution Rate
Percentage of claims paid on the first submission.
23-40 Days
Average Days to Payment
Average number of days it takes for claims to be paid.
First-Pass Claim Acceptance Rate (FAR):
We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.
Days in Accounts Receivable (AR):
Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.
Clean Claim Rate:
With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.
Financial Metrics
90%
Net Collection Rate
Percentage of total charges that are collected.
30 Days
Average Denial Resolution Time
Average number of days taken to fix and resolve a denied claim.
Operational Metrics
94%
Average Claims Submitted Per Month
Volume of claims submitted.
97%
Volume of claims submitted.
Claims processed per biller per day.
Aged A/R Clearance Rate:
Measures the percentage of aged receivables (especially over 90days or above)
Reflects the effectiveness of backlog reduction efforts.
A faster resolution time means improved collections and cleaner aging reports
Unbilled Claims Backlog:
Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.
Denial Resolution Rate:
Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.
Reach Us
Phone
#3159612661
Address
3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.
© 2023 Gedeihen Healthcare.