Specialty Experience
Ask how many wound care practices the company bills today, how long it has billed skin substitutes and HBOT, and who on the team reviews the claims. A company that bills primarily primary care or a single hospital system will not have the same familiarity with wound care LCDs.
Coverage Across MAC Jurisdictions
If the practice operates, or plans to operate, in more than one state, the billing company needs to apply the correct contractor's policy to each location. Ask which MAC jurisdictions the company has billed in and how it tracks policy changes.
Review Before Submission
The most expensive wound care denials are the ones that could have been prevented by checking the note against the LCD before the claim went out. Ask whether claims are reviewed by a person before submission, what the reviewer checks, and how documentation problems are communicated back to the provider.
Audit And Appeal Support
Ask what happens when a record request arrives. The answer should include who assembles the records, who writes the response, whether appeals are included in the service, and how often the company has been through TPE with a client.
Visibility
The practice should be able to see its own accounts receivable without asking for a report. PPBS gives every client read-only access to its account in CollaborativeMD, so claims, payments and balances are visible at any time.
Frequently Asked Questions
- Does PPBS only bill wound care?
- Wound care and hyperbaric medicine are the flagship specialty, and PPBS also bills dermatology, podiatry, general and plastic surgery, and neurology and neurosurgery.
- How long has PPBS billed wound care?
- Physicians Professional Billing Services, Inc. was founded in 1998 and has billed wound care for decades, across every Medicare Part B MAC jurisdiction.
Billing Support For This Specialty
Physicians Professional Billing Services, Inc. has billed wound care, surgical and procedural specialties since 1998, across every Medicare Part B MAC jurisdiction.
Primary Sources
This page is general information about billing and coverage rules and is not legal, coding or reimbursement advice for a specific claim. Coverage policies change; confirm current requirements with CMS and the applicable Medicare Administrative Contractor.