Do you bill skin substitutes in every Medicare jurisdiction?

Yes. PPBS has working experience with every Medicare Part B MAC jurisdiction and bills skin substitute applications according to each MAC's local coverage determination.

Do you handle wound care audits and appeals?

Yes. PPBS prepares appeals and audit responses with the clinical documentation and payer policy citations needed, and advises providers on documentation before the claim is submitted.

Do you bill hyperbaric oxygen therapy?

Yes. HBOT billing, including covered indications, physician supervision requirements and session documentation, is part of PPBS wound care services.

PPBS · Specialty Billing

Wound Care & Skin Substitute Billing Services

Wound care is the flagship specialty of Physicians Professional Billing Services, Inc. PPBS has billed wound care clinics, hyperbaric centers and wound care physicians for decades, across every Medicare Part B MAC jurisdiction as well as Medicaid and commercial carriers.

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What PPBS Handles

Skin substitute application billing: product units, size-based coding and MAC LCD requirements
Selective and surgical debridement coding by depth and documentation
Negative pressure wound therapy and ulcer care
Hyperbaric oxygen therapy (HBOT): covered indications, physician supervision and session documentation
Prior authorization support and coverage guidance before treatment
Denials, appeals and audit responses with payer policy citations
Accounts receivable follow-up with Medicare, Medicaid and commercial payers

Where Revenue Is Lost

Skin substitute coverage policies differ by MAC and change frequently
Debridement claims are denied when depth, measurements or medical necessity are not documented
HBOT requires specific covered diagnoses and supervision documentation
Targeted probe and educate reviews and post-payment audits are common in wound care

Experience

Physicians Professional Billing Services, Inc. has billed this specialty since 1998, with 35+ years of medical billing experience across every Medicare Part B MAC jurisdiction, Medicaid and commercial carriers. Clients receive read-only access to their accounts receivable in CollaborativeMD.

Frequently Asked Questions

Do you bill skin substitutes in every Medicare jurisdiction?: Yes. PPBS has working experience with every Medicare Part B MAC jurisdiction and bills skin substitute applications according to each MAC's local coverage determination.
Do you handle wound care audits and appeals?: Yes. PPBS prepares appeals and audit responses with the clinical documentation and payer policy citations needed, and advises providers on documentation before the claim is submitted.
Do you bill hyperbaric oxygen therapy?: Yes. HBOT billing, including covered indications, physician supervision requirements and session documentation, is part of PPBS wound care services.

Other Specialties

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Tell us about your practice and we will set up a conversation with the people who would handle your account.

(619) 258-6200
estemmler@ppbs.us