Wound Care Billing

Why Providers Choose Us for Facility-Based and Specialized Wound Care Billing

From hospital outpatient departments to in-home care settings, wound care billing, infusion therapy, and home health services involves navigating bundled codes, multiple payers, visit-specific rules, and strict documentation standards. Our experts specialize in end-to-end RCM services tailored to these high-touch, compliance-heavy specialties—ensuring fast, accurate payments with fewer denials.

Key RCM Benefits Across These Specialties:

✔ Specialty-Specific Coding Expertise – ICD-10, CPT, and HCPCS coding aligned with clinical protocols
✔ Prior Authorization & Eligibility Checks – Ensuring approvals before treatment starts
✔ Audit-Ready Documentation – Support for clinical documentation improvement (CDI)
✔ Denial Prevention & Revenue Recovery – Proactive claim edits and aggressive follow-up
✔ Compliant, Transparent Billing – Aligned with CMS, Medicaid, and private payer policies

Whether you're billing for in-facility wound care or administering infusion therapy at home, our team ensures clean claims, faster reimbursements, and fewer denials.

Let’s Improve Your Revenue Cycle—From Bedside to Home

How will our wound care billing services help your practice?

Coding is difficult. No way around it! But we make it look easy. Our experts are certified in coding, and specifically understand the coding needs of an wound care practice.

We code for common wound codes like:

Wound Debridement (CPT 97597–97598, 11042–11047)
Negative Pressure Wound Therapy (NPWT) (97605–97608)
Hyperbaric Oxygen Therapy (G0277, CPT 99183)
Skin Substitutes & Grafts (Q4101–Q4261 + appropriate surgical codes)
Procedure Bundling & Modifier Use (e.g., 59, 76, 78 for repeat debridement)
Hospital Outpatient Billing & UB-04 Claims Support

But it's not just the codes themselves that make coding difficult. Mastering the coding process for wound care practices goes beyond billing; it ensures appropriate reimbursement for the complex services you provide, supports healthcare sustainability, and ultimately enhances patient care quality. By equipping yourself with the right knowledge, resources, and a dedication to best practices, you'll successfully navigate coding challenges and maintain a focus on your patients.

Accurate billing for drug administration and hydration therapy:

IV Infusion & Injections (CPT 96365–96379, 96401–96417)
Drug Reimbursement Management (J-Codes for biologics, chemo, specialty injectables)
Time-Based Billing & Sequential Infusions
Home Infusion Setup & Coordination
CMS Guidelines & Prior Auth Support
Compliance with Incident-to and Supervision Rules

Full-scale support for outpatient and inpatient revenue cycles:

Charge Capture & Charge Master Review
UB-04 and 837I Billing
DRG/APC Coding & Auditing
Observation vs. Inpatient Status Review
Emergency Department & Specialty Clinics RCM
Compliance with CMS IPPS & OPPS Regulations

ARIA's RCM services believes in full transparency with customers. Dedicated account managers share detailed insights about your financial performance, including:

Real-Time Reimbursement Trends – Drill down by specialty, site, or payer
Denial Management Dashboards – Address coding, auth, or documentation gaps
Provider & Facility Performance Metrics – Analyze by unit, department, or provider group
Forecasting & Payer Mix Insights – Anticipate volume and revenue shifts

Specialized Billing Expertise – Decades of experience in facility and complex care billing
AI-Enabled Workflow Automation – From eligibility to payment posting
Audit-Proof Documentation Support – Proactive reviews to stay compliant with CMS, commercial, and state-level payers

Our ARIA RCM (Billing) Services team has won Best in KLAS for Billing services for Ambulatory practices 2 years in a row. We are ranked #1 by our customers, and are proud of the partnerships we have built! We work with practices and hospitals of all sizes, and with agnostic EHR software. Even if you are not a CGM customer, our ARIA team can work on your system to drive results.

All of our team members have years of experience in medical billing and coding and have worked with over 70 specialties. We take all the hard work out of billing so that you can put your efforts elsewhere in your organization.

End to End Billing Services

ARIA RCM Services offers a team of experts that deliver comprehensive end-to-end billing services, including aging accounts receivable management, claim scrubbing, denial management, coding oversight, payment posting, and more. This thorough approach not only streamlines the revenue cycle but also mitigates the risk of denials, ensuring that healthcare practices receive timely payments.

For wound care practices, we allow providers to focus on delivering specialized treatments without the burden of administrative complications. With improved billing accuracy and reduced denials, wound care practices can enhance their financial stability, enabling them to invest in advanced treatment technologies.

ARIA RCM SERVICES

Medical Coding Services

Medical coding is tough! However, given its vital role in ensuring continuity of care and securing the financial reimbursements due to a practice, having knowledgeable experts by your side is essential. Partner with ARIA Coding Services to stay informed about:

Coding guidelines that change on a quarterly or annual basis
New codes for the services you deliver
Opportunities to enhance your documentation
Handling coding rejections and denials

For wound care practices, accurate coding is critical not only for maximizing reimbursements but also for capturing the complexities of specialized treatments, ultimately leading to better patient care and improved outcomes.

ARIA Coding Services

Enrollment is a pain, but it doesn't have to be

By managing the complexities of insurance verifications, claims submissions, and reimbursement protocols, we simplify administrative tasks, allowing laboratories to focus on their core functions in testing and diagnostics. We also navigate the intricate landscape of payer requirements and regulatory compliance, ensuring laboratories remain eligible to participate in various insurance networks. This support enhances operational efficiency and facilitates timely payments, significantly contributing to financial health and sustainability.

With flexible pricing plans tailored for larger groups, smaller practices, and solo providers, ARIA Enrollment Services provides an ideal solution for efficiently processing payments from insurance organizations. For wound care practices, proper enrollment ensures access to a wider range of payers, ultimately maximizing reimbursement opportunities for specialized treatments.

ARIA Enrollment Services