How we actually increase your collections
You see verifiable results from our merging of human skill with cutting-edge technology:
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Specialty-trained coders. Our coders know wound-specific documentation that pays and that causes denials.
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AI-assisted claim scrubbing. Claims go via automated checks that find missing modifiers, mismatched units, and document gaps before submission.
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Workflow restructuring. We maximize intake and charge capture so no billable service is missed.
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Preventative active denial. Machine learning draws attention to assertions probably to refute them; thus, we repair them before their broadcast.
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Targeted appeals squad. High-dollar denials are quickly referred to licensed appeal experts.
Result: more consistent income, quicker payments, better cash flow, and fewer reworks.
Clinical documentation we audit for you
A claim is only as good as the chart. We often review charts for:
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Precise measures of wounds length, width, and depth
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Clear documentation of time for debridement and NPWT dressing changes as well as methodology
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Medical necessity statements for HBOT or biologic treatment
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Notes indicating recovery path or justification for ongoing treatmen
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Right patient identifiers, modifiers, and unit documentation
We offer templated notes and staff instruction to help documentation be quick and defensible.
Why clinics pick Sirius Solutions Global
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Specialty focus: wound care billing is a core service, not an afterthought.
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Human-first approach: your account manager is a real person who knows wound billing.
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Tech that helps: smart automation without over-automation.
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Audit-ready documentation: defendable charts when payers question claims.
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Transparent pricing: clear fees, measurable KPIs, no hidden surprises.
What makes wound care billing different
Techniques for wound care have a particular billing difficulty:
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Many forms of services are provided in a single appointment. Every one of these a doctor evaluation, topical therapy, dressing change, and debridement has separate billing rules.
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Payer-specific coverage policies and documentation demands apply for NPWT, hyperbaric oxygen therapy (HBOT), skin grafts, and biologics that is, complicated, process-based treatment.
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Frequent prior authorizations. High-cost drugs and sophisticated biologics usually need preapproval.
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Degree of documentation. Medical need, wound measurements, progress reports, and treatment schedules have to be auditable and constant.
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Considerable danger of denial. Missing units, incorrect modifiers, and insufficient paperwork cause denials and revisions.
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Cross-setting support. Everyone has different billing rules; wound care includes SNFs, hospital consultations, ASCs, outpatient clinics, and home health.
Unnecessary denials, sporadic coding, or lost charge capture money that should be in your practice.
Wound Care Billing Services
A lifesaver specialty, wound care uses medicine, surgery, and ongoing care. The billing behind that care, however, is complicated: numerous operations in one visit, specialized treatments (NPWT, hyperbaric oxygen, grafting), changing payer standards, and extensive documentation needs. At Sirius Solutions Global, we handle the billing load so you may concentrate on patients—while ensuring everyone's service is properly recorded and paid for.
Our Wound Care Billing Services end-to-end RCM built for wound clinics
Our services are customized to wound centers, podiatry groups, vascular surgeons, plastic surgeons, home health, and hospital wound programs. Our offer includes:
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Real-time checks before treatment to avoid surprise denials, eligibility, and benefits verification.
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We manage pre-authorization administration, including submission, record gathering, and follow-up, so that treatments are not postponed.
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Correct coding for debridement, dressings, NPWT, HBOT, grafting, biologics, and associated E/M services specialty coding and charge capture.
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Payer-ready claims with payer-specific edits and scrubbing
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Root cause analysis and forceful appeals to reclaim unpaid or denied claims define denial management and appeals.
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AR cleanup, rapid posting, and accurate reconciliation constitute payment posting and reconciliation.
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Clear, welcoming billing for patients that raises collections and lowers complaints patient statements and collections.
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Documentation reviews and audit-ready records to protect your practice help with compliance and audit support.
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Custom reporting and KPIs are dashboards presenting AR days, rejection rates, net collections, and patterns you can use.
Technology & AI: how we bring modern RCM to wound care
In a down-to-earth sense, we are technologically forward thinkers; AI lowers repeated labor and helps humans where judgments are crucial.
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Presubmission artificial intelligence scrubbing highlights coding conflicts and missing documentation (prior to the claim leaving).
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Model denials inform the team of dangerous claims so we may proactively correct them.
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Smart reconciliation emphasizes underpayments through automatch payments and EOBs.
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View AR, denials, payer mix, and top deniers at a glance on real-time dashboards.
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Automated charge capture from wound imaging systems and EHR notes helps to lessen human entry via EHR and device interfaces.
We never allow the technology to take the place of seasoned coders; rather, it magnifies their effect.
Typical results our clients see
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Faster first-pass payments resulting from prior auth management and cleaner claims.
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After documentation correction, denials for NPWT and HBOT demands dramatically decreased.
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Shorter AR days via automated posting and aggressive follow-up.
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Recovered income from previously denied appeals via a focused recovery workflow.
Before you commit, we will conduct a baseline study and provide forecast uplift.
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