Better Part B Wound Care, Billing & Compliance

Assignment of Benefits

Wound Care Concepts handles Part B Billing for nursing homes so that you can deliver the best quality healthcare.  With WCC, you'll get the wound care products you need. WCC works with Medicare and most leading insurance companies.  We supply the billing technology and collect from the appropriate payee.  

How is Wound Care Concepts different?
Wound Care Concepts is a very conservative Part B biller, which is good for our customers because it makes your life easier:

  • WCC conforms strictly to Medicare Guidelines by never attempting to bill more than the Medicare Guidelines.
  • If Medicare refuses to pay, WCC does not bill our partners. When WCC accepts a Part B case,
    we handle it from beginning to end.

Can WCC work with our existing formulary?  Yes!
Wound Care Concepts can work with your existing formulary to ensure that your Part B billing is always performed to the letter of the law and that your patients receive the best standard of care.

Will WCC supply wound clinicians in the field?  Yes!
WCC employs clinicians that provide wound education in nursing homes and remote diagnostic assistance, too.

What exactly is Part B billing?
Two types of Medicare involve wound care:

  • Part A covers inpatient hospital care as well as skilled nursing facility care, hospice care, and home health care.  Generally,
    a patient’s wound care in a hospital and during the first 100 days in a nursing home falls under Part A and is included as part of the daily Medicare payment for the patient’s care.
  • Part B covers physician services, outpatient care, and other medical services, which are not otherwise covered under Part A Medicare.  Generally, after 100 days in a nursing home, a patient’s wound care treatments fall under Part B and are paid separately from daily care and other treatments.
Medicare part B is the plan that you use to go see your doctor, whereas Medicare part A is the plan that you would use if you were an inpatient in a hospital. The two are not interchangeable!

An important thing to understand about Medicare Part B billing is that each person must pay a premium each month, and pay a yearly deductible and co-pay unless the patient has co-insurance.  As such, Part B is like regular commercial insurance plans.  However, unlike regular commercial insurance plans, Part B Medicare coverage only includes two types of services:

  • Medically Necessary Services: These include services and supplies needed to treat your medical condition. To be covered, the service also has to be within the standards of medical practice. This means that holistic or naturopathic treatments are not covered.
  • Preventive Services: These include healthcare services that are necessary for preventing illness rather than treating it. Methods of early detection, such as diagnostic exams for cancer, are also considered preventive medicine.

WCC has developed a specialized expertise in supplying wound care products under the Part B system.  We will ensure that your patients get the products they need and that Medicare Part B is properly billed.

Can we try out Wound Care Concepts?  Yes!
We are happy to demonstrate Wound Care Concepts Part B System at any of your facilities – on any collection of patients or even a whole facility for an entire month.  Our clients often ask us to handle their most difficult nursing homes and are delighted with the results.

How do I sign up?
Your WCC representative will provide a one-page acknowledgement that WCC is now handling your Part B wound care.  There are no long-term commitments and you can get started today!

To sign up, please call Brian at  215-788-2700 or FAX: 215-788-2715