Why Claims Go Unpaid
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✕Coding Errors & DowncodingIncorrect wound care procedure codes result in systematic underpayment that compounds across years of claims.
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✕Missing Clinical DocumentationIncomplete documentation triggers automatic denials — even for services that were fully delivered and medically necessary.
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✕LCD / NCD Non-ComplianceFailure to meet Local Coverage Determination criteria is the #1 reason for Medicare wound care denials.
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✕Appeals Left on the TableMost practices abandon denied claims rather than pursue multi-level appeals — our team never walks away from a recoverable claim.
Our Recovery Process
1
Free Claims Audit
We analyze 5 years of your Medicare & MA claims at no cost, identifying every recoverable denied and underpaid dollar.
2
Recovery Strategy
Our wound care billing specialists build a custom appeals and resubmission plan tailored to your specific denial patterns.
3
Appeals & Resubmission
We handle all ALJ appeals, redeterminations, and CMS reopening requests on your behalf — start to finish.
4
You Get Paid
Our fee is only collected when you receive payment. Zero upfront risk — pure recovered revenue.