Wound Care Charge Capture Solutions: Complete Guide for Independent Healthcare Providers

In the wound care space, where reimbursements are high and billing guidelines are relatively complex, reliable, specialized, and efficient charge capture solutions are absolutely essential. In recent years, a number of software solutions have been developed to help physicians and practice managers address this issue. A recent study found 170 different apps available that support the wound care documentation process, although these varied widely in effectiveness and reliability. These software tools promise accurate documentation, improved billing efficiency, and better patient outcomes, and the best of them do indeed deliver on that promise.

Medical BillingBader AlmoshelliSeptember 2, 2025Comment

Wound Care Billing: A Guide for Providers

Due to a number of specific factors, billing for wound care services and procedures is often significantly more complex than billing in other specialties. Furthermore, because reimbursement for wound care services, procedures, and associated supplies can be so high, it is especially important for practitioners and billers to work closely together to ensure maximum reimbursement for wound care services and related charges.

To put it simply, a lot of money is on the line. Wound care is reimbursed at a high rate, and a biller with expertise in wound care services can often increase revenue of even a small practice by tens of thousands of dollars per month or more. We know, because we’ve done it.

Medical BillingBader AlmoshelliFebruary 21, 2024specialty billingComment

Billing and RCM for Behavioral Health Providers: The Essential Guide

Since many behavioral health providers are independent, billing and RCM take on additional urgency. At the same time, many behavioral health providers, and especially independent behavioral health professionals, lack the infrastructure required to ensure all claims get paid.

UNDERSTANDING THE STEPS OF RCM IN behavioral HEALTH SERVICES

Obtain referral from primary care provider
Determining medical necessity
Documenting and verifying medical necessity
Performing the tests
Waiting for claims to be paid

The Mindset of an Independent Business Owner

As an owner or partner in an independent behavioral health practice, billing and RCM are ultimately your responsibility. But of course, that doesn’t mean doing the work yourself. Rather, you need to assemble a team of skilled people on your team, whether in-house or an outside partner. It’s usually most efficient to establish a relationship with a medical billing company, preferably one that specializes in billing for behavioral health providers, or at least has substantial experience working with behavioral health billing.

Medical BillingPatrick BensenApril 26, 2023Comment

Billing and RCM for Hospitalists: A Guide to the Essentials

Billing and revenue cycle management for hospitalists is a very complex accounting process, with many quirks and idiosyncrasies. In our experience, most hospitalists don’t fully understand the billing process, and underestimate what is required to navigate this process successfully.

Of course, billing and RCM are not the primary focus of any hospitalist, or any medical practitioner for that matter. While providing vital care to improve patients’ lives, billing insurance and getting paid is not necessarily top of mind - nor should it be.

The good news is that a diligent and skilled billing service can greatly reduce this burden, on your team who are tasked with collecting what you’re owed.

Medical BillingPatrick BensenMarch 16, 2023Comment

The Guide to Medical Billing Companies in 2024

For independent medical practices, choosing a medical billing company can be a confusing process.

The first step to gain clarity is to understand the industry. In general, there are three categories of independent medical billing companies:

Large companies with more than 100 clients
Mid-size companies with 25-100 clients
Smaller companies with less than 25 clients

Viewed from this perspective, it’s easier to see patterns in the industry. In each tier, a medical company will be more likely to have certain strengths as well as weaknesses, and will be more likely to offer certain services as opposed to others.

Once you know what to look for, you’ll be in better position to select the best billing partner for your practice.

Let’s get started.

Medical BillingPatrick BensenApril 6, 2022Comment

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UNDERSTANDING THE STEPS OF RCM IN behavioral HEALTH SERVICES

The Mindset of an Independent Business Owner

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