All types of wound care are not covered by insurance and the ones that are covered require a series of administrative activities like proper documentation with accurate detailing and also accurate coding. Before claim submission, providers must determine whether the wound treatment falls under medical necessity guidelines and whether it is covered by the patient’s insurance policy. This requires familiarity with the medical necessity guidelines, insurance coverage policies, and prior authorization requirements.
Outsourcing your wound care billing to an expert like Practolytics ensures that the medical billing process is up-to-date and free of any possible human errors. It also lowers the overhead costs, maximizes payments, and minimizes claim denials and rejections.