Wound Care Billing Services

Get paid for every
wound you treat

In January, Medicare changed how wound care gets paid. One flat rate for skin substitutes. Six states want approval before you treat. Keep billing the old way, and the money quietly stops arriving. We bill it the way it works now.

96%avg. net collection rate across TruCare clients

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Numbers from the practices we bill for

96%

avg.net collection rate across TruCare clients

>95%

clean claim rate, accepted on first submission

−37%

fewer claim rejections

−38%

days in A/R, so cash arrives sooner

Figures reflect TruCare revenue cycle client results, trailing twelve months.

Why wound care practices pick TruCare

4.8

Based on 180+ client reviews

Verified client reviews

April 26, 2026

They saw the 2026 change coming

Our old biller kept sending product claims the old way. TruCare had our codes and our math updated before January. We did not lose a quarter finding out.

Dr. A. Nowak, wound clinic owner

Mar 06, 2026

Prior auth stopped being a guess

We are in Texas, so grafts need approval up front now. They file it, track it, and tell me when it expires. Nothing gets applied without one.

M. Ellison, practice administrator

Jan 15, 2026

Debridement denials dropped

We were getting hit on depth and square centimeters. They showed our physicians exactly what the note was missing. The denials stopped within two months.

Dr. P. Sandoval, podiatrist

Dec 29, 2025

Clean handoff from our old billers

Switching billers scared me. They took the open A/R with them and worked it. We did not have a gap in cash.

R. Whitfield, mobile wound care group

Nov 24, 2025

I can see the whole picture

Denials by reason, revenue by provider, and what is still unpaid. It is all on one screen, and I stopped asking my office manager for reports.

L. Barnes, billing manager

What we do for your wound care practice

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We get your providers enrolled

TruCred files your Medicare and Medicaid enrollments and keeps your provider records current. Add a physician, an NP, or a second location, and we get them on the plans. We also watch license and revalidation dates, so nobody expires mid-year.

Medicare enrollmentPECOS upkeepRevalidation

Youget paidby the measurement

Most doctors get paid for what they did. In wound care, you get paid for how much. How deep the debridement went. How many square centimeters you treated. How big the graft was. Those numbers decide the payment.

So the note is the claim. If the depth is not written down, the code drops. If the chart says 12 square centimeters and the claim says 14, it gets denied. A biller cannot add a number nobody wrote down.

And you see the same wound every week. One habit in the notes repeats across twenty claims before anyone notices.

Most billing companies can code what a note says. Wound care needs someone who spots what the note is missing while the patient is still in the room.

Six ways a wound care claim loses money

The authorization was not there

In Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington, Medicare reviews skin substitute applications before you submit them. We file the request and track the approval window, so nothing is applied for on hope.

The billed size does not match the chart

The product is paid per square centimeter, so the number on the claim has to match the number in the note. We compare them every time and query the physician when they differ.

The depth was not documented

Debridement pays based on how deep you went and how much area you treated. If the note does not say so, the claim gets downcoded or denied. We tell your physicians exactly what is missing while the patient is still in the chair.

The visit and the procedure fought each other

Bill an office visit on the same day as a procedure without the right modifier, and one of them drops. We check that pairing on every claim.

Conservative care was not on the record

Payers want to see what you tried first. Offloading, compression, wound bed preparation, and how the wound responded. We make sure that the history is in the record before a graft is billed.

Nobody was watching the whole picture

Denials by reason, revenue by provider, authorizations about to expire, and claims still unpaid. All of it on one screen, updated daily.

Rated on the platforms that matter

Ratings shown are collected from verified client reviews.

Our service offerings

Every wound service you provide,billed the right way

Surgical debridement

Debridement of skin, subcutaneous tissue, muscle, or bone, coded to the depth reached and the area treated. The single most audited service in wound care.

Selective debridement and wound care

Non-surgical debridement of devitalized tissue, with or without topical treatment. Different codes, different rules, and easy to mix up with the surgical family.

Skin substitute applications

Grafts and cellular or tissue-based products are now paid as a flat-rate supply. We bill the application by body site and size, and match every square centimeter to the chart.

Hyperbaric oxygen therapy

HBOT is billed by the session in the office and by the half-hour in the facility, with the covered indication and the failed prior treatment documented.

Negative pressure wound therapy

NPWT is billed by wound size, with the equipment and supply side handled separately when it runs through durable medical equipment.

Compression and offloading

Unna boots, multi-layer compression, and total contact casting. Low-dollar services that add up, and the ones practices forget to bill.

Dressings and supplies

Surgical dressings are billed with the right code, quantity, and diagnosis, including the ones that go through the DME side rather than Part B.

Office visits alongside procedures

Evaluation and management were billed on the same day as a procedure, with the modifier and documentation that allowed both to be paid.

What you get with TruCare

Billers who read wound notes all day

Your claims are handled by certified billers and coders who work wound care caseloads. They know what a debridement note needs, and they have appealed a downcoded claim before.

Your EHR stays where it is

We work on top of the system your team already charts in. Epic, Athenahealth, eClinicalWorks, AdvancedMD, Elation, and others. No migration, no second login.

Enrollment that keeps up with hiring

Add a physician, an NP, or a location, and TruCred runs the applications while billing keeps going. New providers start billing in weeks, not months.

The six denials we see most, and how we stop them

Wound care denials are rarely about whether the care was needed. They are about whether the note proves the care was medically necessary. A depth that was not written down. A size that does not match. An authorization that was never filed.

We tag every denial to a cause, then turn that cause into a rule that the next claim has to pass. Fix it once, and it stops coming back every month.

Denials climbing since January?

We will review your last 90 days and tell you what the pattern is.

Request a billing audit

Here is what we catch first:

No prior authorization on file

In six states, Medicare wants to approve a skin substitute application before you do it. Skip that step and the claim is held for review before anything is paid. We file early and watch the clock on the approval.

The note does not support the depth

Billing a deeper debridement than the note describes gets the claim downcoded or denied, and it draws auditors. We code what is written and tell the physician what to add next time.

Billed size does not match the chart

With payment set per square centimeter, a mismatch between the claim and the note is an easy denial and an easy audit finding. We reconcile the two every time.

Missing modifier on the visit

An office visit on the same day as a procedure needs the right modifier, or it falls off the claim. We check every pairing before submission.

Too many units for one date

Medicare caps how many units of a code it will pay per day. Go over without support, and the whole line denies. We check the limit before the claim goes out.

The wound diagnosis is not specific enough

A diabetic foot ulcer needs the diabetes code and the ulcer site and depth. A pressure ulcer needs the site, stage, and side. Vague codes get denied, so we code to the level of detail the record supports.

The codesyour payment depends on

Wound care runs on a small set of codes. Debridement, application, therapy, and the diagnosis behind them. Almost every dollar a practice loses is lost inside that set, usually to a detail nobody wrote down.

Our coders work wound charts every day. They know which codes auditors look at, which ones cannot be billed together, and which small entries decide whether a claim pays.

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What we handle, line by line:

11042–11047

Debridement by depth and area

One family of codes, split by how deep the debridement went and how much surface was treated. Depth drives the base code. Area drives the add-on units. Both have to be in the note.

No new software for your team to learn

Nothing about your clinic day changes. TruCare connects to Epic, Athenahealth, eClinicalWorks, AdvancedMD, Elation, and other systems that practices chart in, so visits, notes, and measurements come across on their own. No migration weekend. No second login for your medical assistants.

What changes is what gets caught. The system watches the things that decide whether a claim pays. An authorization about to expire. A billed size that does not match the note. A missing modifier. A denial that needs an appeal this week. Your billers work the exceptions instead of hunting for them.

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Deep integrations with all EHRs

TruCare connects seamlessly with your existing workflows — no switching required.

What 2026 changed for wound care

Skin substitutes became supplies

Medicare no longer pays for these products like drugs. From January 1, 2026, they are paid as a supply used during the application procedure, in both the office and the hospital outpatient department. Medicare calls this an incident-to supply. The product is still paid for, just not as a drug.

One flat rate replaced product pricing

CMS set a single national rate of about $127 per square centimeter. It is the same rate regardless of which product you use, which removes the old reason to choose one product over another.

Spending is expected to drop by about 90 percent

That is CMS's own estimate of the effect on Medicare spending for these products. If a large share of your revenue came from product margin, that revenue is gone.

Prior authorization arrived in six states

CMS launched the WISeR model on January 1, 2026, in Arizona, New Jersey, Ohio, Oklahoma, Texas, and Washington. Skin substitute applications are on its list. The model runs through the end of 2031.

The new coverage policies were pulled at the last minute

Medicare contractors withdrew their new coverage rules for diabetic and venous ulcers on December 24, 2025, days before they were due to start. These rules are called LCDs, or local coverage determinations, and they decide which products a contractor will pay for. Coverage did not change, but the payment change went ahead anyway.

Fees moved too

The 2026 fee schedule cut the work value of nearly every code that is not billed by time. Debridement is one of them. Each cut is small, but a wound practice bills these codes all day.

How we keep rule changesfrom costing you

We read the rules so your office does not have to. Every change becomes a check a claim has to pass before it leaves.

When a rate moves or an authorization requirement appears, it lands in our scrubbing rules, not in your denial pile a month later. Coverage, authorization, coding, and documentation are all tested at submission.

After submission, we follow the claim, fix what bounces, and appeal in time. Payment posting and follow-up continue after adjudication, so underpayments get worked instead of written off.

In-house vs. outsourced

Hire a general biller, or bring in specialists

An in-house general biller knows your patients and your physicians. A specialist team knows the rules and has seen the same denial hundreds of times. Both work. Both cost something, in margin, in unpaid claims, or in your own evenings.

Here is the honest comparison:

The question	One in-house biller	TruCare
Who tracks prior authorizations	Whoever remembers	A daily queue, filed and tracked to the expiry date
Depth in wound coding	One person’s knowledge of debridement and application rules	Certified coders who read wound notes all day
When the rules change	Read on a webinar, applied when there is time	Built into claim edits the week they take effect
Note quality	Nobody tells the physician what was missing	Physicians get specific feedback while it still matters
Records requests	Land on whoever is free, often late	Assembled and filed inside the deadline as routine work
Unpaid claims	Surface at month end, if someone runs the report	On a live list, aged, by provider
Cost shape	Salary, benefits, training, software, clearinghouse	A fee tied to what you collect, so cost follows volume
Absence and turnover	One resignation stops billing for weeks	Billing continues. Coverage is our problem
What the owner sees	A spreadsheet from last quarter	Denials by reason, revenue by provider, live
The owner’s evenings	Spent chasing claims	Spent on patients and growth

Compare against your numbersFree 90-day review of denials and aging A/R, no commitment.

Hover a state to see coverage

Where we serve

We bill wound care in every state

We bill for single-physician wound clinics, podiatry practices, vascular and general surgery groups, dermatology practices, mobile and bedside wound teams, and multi-site wound programs. Coverage rules also differ by Medicare contractor. Three of them still run their own skin substitute policies: Novitas, CGS, and First Coast. No two states work the same way, and six of them now have an extra approval step. We handle that state by state and plan by plan.

Prior authorization support

Multi-state enrollment

MAC coverage rules

Clearinghouse connections

Denial and appeal management

A named account contact

Who we bill every day

Medicare Part B

Procedures, applications, HBOT, and the rules that changed in 2026

Medicare Advantage

Plan-by-plan authorization and coverage rules

Medicaid and managed Medicaid

State programs and MCO plans

BCBS and Anthem

Wound and graft policies that vary by plan

Centene family

Molina, WellCare, Amerigroup

Other

Workers’ compensation, VA Community Care, self-pay

We bill whatever plans your practice is contracted with. If you are not contracted yet, TruCred handles the enrollment.

Wound care billing saver guide

A practice collecting $1 million saves up to $48,160 a year by outsourcing to TruCare

	In-house billing	With TruCare	Annual saving
Dedicated billing staff	$73,060	$0	$73,060
Billing software and clearinghouse	Varies	Included	—
Training, turnover, and coverage	Varies	Included	—
TruCare fee (from 2.49% of collections)	—	$24,900	—
Total annual cost	$73,060	$24,900	$48,160

Example: a practice collecting $1 million a year with one full-time biller, at TruCare’s starting rate of 2.49%. Biller cost uses the BLS May 2025 median wage for medical records specialists ($51,140), with benefits at 30% of total compensation. Software and training costs vary by practice and are not counted. We do not replace your front desk; we take the claims work off it. Your TruCare rate depends on monthly collections and the services you use.

Want this run on your own numbers?

Talk to a wound care billing expert

What practices say a few months in

“When the 2026 rule hit, we were told to expect a bad year. What we got instead was a list of what to fix. Our notes got better, our authorizations got filed, and our denials fell. The product money is gone for everyone. The difference is whether the rest of the claim is right.”

Dr. Marcus Reddy

Cedar Point Wound Care

Get paid for everywound you treat