Wound Care Medical Billing & Credentialing Services

Precision-Driven Billing and Credentialing for Wound Care Clinics, Physicians & Specialists

Wound care is one of the most complex and regulation-heavy specialties in modern medicine. From hyperbaric oxygen therapy (HBOT) to skin substitutes and advanced debridement techniques, providers face a constant challenge to deliver exceptional outcomes while staying financially viable. At Oakview Medical Billing Solutions, we understand the intricacies of wound care billing and credentialing—and we’re here to simplify your revenue cycle so you can focus on healing.

Whether you’re an independent wound care physician, a hospital-based wound care center, or a mobile wound care practice, our team delivers end-to-end RCM support tailored to your specialty.

Why Wound Care Billing Is So Complex

Wound care billing requires detailed clinical documentation, correct modifier usage, and strict adherence to LCD/NCD guidelines. Small errors can lead to major denials.

Common challenges include:

• Confusing documentation rules for debridement vs. skin substitute grafts

• Frequent payer audits and pre-authorization requirements

• HCPCS/CPT crosswalk issues for supplies and biologics

• Unclear billing guidelines for mobile wound care services

• Denials due to improper use of modifiers (e.g., 59, 25, or -X{EPSU})

Our certified billing experts ensure that your claims are coded, scrubbed, and submitted with precision—every time.

Oakview’s Wound Care Billing Solutions

Our team handles every phase of the billing process, from insurance verification to timely claim submission and AR follow-up. Here's how we support you:

• ICD-10 & CPT coding for wound type, stage, and treatment

• Prior authorization management for HBOT and skin substitutes

• Proper use of Q-codes, C-codes, and G-codes for supplies and grafts

• Daily claims scrubbing and rejection management

• Documentation audit assistance to avoid payer take-backs

• Real-time analytics dashboard & custom reporting

• Insurance eligibility & benefit verification before every treatment

We also coordinate with your EMR/EHR systems to reduce friction and improve workflow transparency.

Credentialing for Wound Care Providers

Credentialing is the foundation of your cashflow. Without proper enrollment, even perfectly billed claims get denied. Oakview’s credentialing specialists help wound care providers:

• Enroll in commercial, Medicare, and Medicaid panels

• Maintain and update CAQH profiles

• Complete PECOS and NPI registration

• Manage revalidations and insurance re-credentialing

• Navigate facility credentialing for outpatient wound care centers

Whether you’re opening a new wound care clinic or expanding into new payer networks, we’ll handle it all from start to finish.

CPT Codes Commonly Billed in Wound Care

We track LCD/NCD guidelines to ensure CPT/HCPCS codes are always compliant with regional MACs

Who We Serve

Oakview works with a diverse range of wound care providers across all practice sizes and care settings:

• Hospital-affiliated wound care departments

• Outpatient wound care clinics

• Mobile wound care providers (home visits, SNFs)

• Podiatrists offering wound care

• Hyperbaric medicine physicians

• General surgeons and vascular specialists

Why Choose Oakview for Wound Care Billing & Credentialing

• Over a decade of experience in wound care revenue cycle management

• Certified coders trained in wound care documentation compliance

• Personalized account manager for every provider

• Transparent pricing – no hidden fees

• Proven history of increasing reimbursements and reducing denials

Ready to Heal Your Revenue Cycle?

Let Oakview Medical Billing Solutions take the weight of wound care billing and credentialing off your shoulders. Connect with us today and let’s turn your complex RCM into consistent collections.