Insurance & Billing

We Accept Most Major Insurance Plans

Our goal is to make receiving advanced wound care as simple as possible. We accept Medicare and most major commercial insurance plans. Our staff will help verify your benefits and determine whether any prior authorizations are needed before treatment begins.

Commercial Insurance

Many commercial insurance plans require prior authorization for certain wound care services or hyperbaric oxygen therapy (HBOT). Our team will work directly with your insurance company to obtain any required approvals whenever possible. Coverage and patient responsibility vary by plan.

Medicare

Medicare generally does not require prior authorization for wound care services or hyperbaric oxygen therapy. However, your wound care provider must first evaluate your condition and determine that treatment meets Medicare’s medical necessity guidelines.

Home Health Patients

Patients receiving home health services can typically continue outpatient wound care and hyperbaric oxygen therapy while remaining on home health. Our team will coordinate with your home health agency to ensure continuity of care.

Skilled Nursing Facilities (SNF)

Patients utilizing Medicare Part A Skilled Nursing Facility benefits may have limitations regarding outpatient hyperbaric oxygen therapy because these services are generally included under the SNF payment structure. Our team can review your individual situation and discuss available options.

Nursing Home Residents

Residents of nursing homes are often eligible to receive outpatient wound care and hyperbaric oxygen therapy when medically appropriate. We regularly coordinate care with long-term care facilities.

Financial Questions

If you have questions regarding insurance coverage, deductibles, copays, or out-of-pocket expenses, our staff is happy to assist you before treatment begins whenever possible.

What to Expect

Your first visit includes a comprehensive evaluation by one of our wound care specialists.

During your appointment, we will:

  • Review your medical history and current medications.
  • Evaluate your wound and identify factors affecting healing.
  • Assess circulation, infection risk, and overall health.
  • Develop a personalized treatment plan.
  • Discuss advanced treatment options if appropriate.
  • Answer any questions you or your family may have.

If hyperbaric oxygen therapy is recommended, your provider will review the treatment process, expected number of sessions, and determine if you meet medical eligibility requirements.

Conditions We Treat

Our providers specialize in treating both acute and chronic wounds, including:

  • Diabetic foot ulcers
  • Venous leg ulcers
  • Arterial ulcers
  • Pressure injuries (bed sores)
  • Surgical wounds
  • Traumatic wounds
  • Burns
  • Radiation injuries
  • Compromised skin grafts and flaps
  • Osteomyelitis
  • Non-healing wounds
  • Soft tissue infections requiring advanced wound management

Advanced Wound Care Treatments

Treatment plans are individualized and may include:

  • Sharp debridement
  • Advanced wound dressings
  • Compression therapy
  • Negative Pressure Wound Therapy (Wound VAC)
  • Total Contact Casting
  • Cellular tissue products (skin substitutes)
  • Hyperbaric Oxygen Therapy (HBOT)
  • Infection management
  • Offloading for diabetic foot ulcers
  • Edema management
  • Nutritional support and patient education

Hyperbaric Oxygen Therapy (HBOT)

Hyperbaric Oxygen Therapy is an advanced treatment that delivers 100% oxygen in a pressurized chamber to promote healing in certain chronic and complex wounds.

HBOT may be appropriate for conditions such as:

  • Diabetic wounds
  • Chronic refractory osteomyelitis
  • Radiation tissue injury
  • Compromised skin grafts and flaps
  • Certain non-healing wounds

Your physician will determine whether HBOT is appropriate based on your diagnosis and insurance guidelines.

Preparing for Your Appointment

Please bring:

  • Photo ID
  • Insurance card(s)
  • Current medication list
  • Any recent wound-related medical records, imaging, or laboratory results (if available)
  • Referral paperwork (if applicable)

Please arrive 15 minutes before your scheduled appointment to complete any necessary paperwork.

Frequently Asked Questions

Do I need a referral?
Some insurance plans require a referral from your primary care provider, while others do not. Our staff can help determine your specific requirements.

Can I continue Home Health while being treated?
Yes. In most cases, patients can continue receiving home health services while receiving outpatient wound care.

How long will treatment take?
Every wound is different. Your provider will discuss an individualized treatment plan and expected healing timeline during your evaluation.

Will my insurance cover treatment?
Coverage depends on your insurance plan and diagnosis. Our team will work with you to verify benefits and obtain any required authorizations before treatment whenever possible.

Patient Resources

Insurance & Billing

We Accept Most Major Insurance Plans

Our goal is to make receiving advanced wound care as simple as possible. We accept Medicare and most major commercial insurance plans. Our staff will help verify your benefits and determine whether any prior authorizations are needed before treatment begins.

Commercial Insurance

Many commercial insurance plans require prior authorization for certain wound care services or hyperbaric oxygen therapy (HBOT). Our team will work directly with your insurance company to obtain any required approvals whenever possible. Coverage and patient responsibility vary by plan.

Medicare

Medicare generally does not require prior authorization for wound care services or hyperbaric oxygen therapy. However, your wound care provider must first evaluate your condition and determine that treatment meets Medicare’s medical necessity guidelines.

Home Health Patients

Patients receiving home health services can typically continue outpatient wound care and hyperbaric oxygen therapy while remaining on home health. Our team will coordinate with your home health agency to ensure continuity of care.

Skilled Nursing Facilities (SNF)

Patients utilizing Medicare Part A Skilled Nursing Facility benefits may have limitations regarding outpatient hyperbaric oxygen therapy because these services are generally included under the SNF payment structure. Our team can review your individual situation and discuss available options.

Nursing Home Residents

Residents of nursing homes are often eligible to receive outpatient wound care and hyperbaric oxygen therapy when medically appropriate. We regularly coordinate care with long-term care facilities.

Financial Questions

If you have questions regarding insurance coverage, deductibles, copays, or out-of-pocket expenses, our staff is happy to assist you before treatment begins whenever possible.

What to Expect

Your first visit includes a comprehensive evaluation by one of our wound care specialists.

During your appointment, we will:

  • Review your medical history and current medications.
  • Evaluate your wound and identify factors affecting healing.
  • Assess circulation, infection risk, and overall health.
  • Develop a personalized treatment plan.
  • Discuss advanced treatment options if appropriate.
  • Answer any questions you or your family may have.

If hyperbaric oxygen therapy is recommended, your provider will review the treatment process, expected number of sessions, and determine if you meet medical eligibility requirements.

Conditions We Treat

Our providers specialize in treating both acute and chronic wounds, including:

  • Diabetic foot ulcers
  • Venous leg ulcers
  • Arterial ulcers
  • Pressure injuries (bed sores)
  • Surgical wounds
  • Traumatic wounds
  • Burns
  • Radiation injuries
  • Compromised skin grafts and flaps
  • Osteomyelitis
  • Non-healing wounds
  • Soft tissue infections requiring advanced wound management

Advanced Wound Care Treatments

Treatment plans are individualized and may include:

  • Sharp debridement
  • Advanced wound dressings
  • Compression therapy
  • Negative Pressure Wound Therapy (Wound VAC)
  • Total Contact Casting
  • Cellular tissue products (skin substitutes)
  • Hyperbaric Oxygen Therapy (HBOT)
  • Infection management
  • Offloading for diabetic foot ulcers
  • Edema management
  • Nutritional support and patient education

Hyperbaric Oxygen Therapy (HBOT)

Hyperbaric Oxygen Therapy is an advanced treatment that delivers 100% oxygen in a pressurized chamber to promote healing in certain chronic and complex wounds.

HBOT may be appropriate for conditions such as:

  • Diabetic wounds
  • Chronic refractory osteomyelitis
  • Radiation tissue injury
  • Compromised skin grafts and flaps
  • Certain non-healing wounds

Your physician will determine whether HBOT is appropriate based on your diagnosis and insurance guidelines.

Preparing for Your Appointment

Please bring:

  • Photo ID
  • Insurance card(s)
  • Current medication list
  • Any recent wound-related medical records, imaging, or laboratory results (if available)
  • Referral paperwork (if applicable)

Please arrive 15 minutes before your scheduled appointment to complete any necessary paperwork.

Frequently Asked Questions

Do I need a referral?
Some insurance plans require a referral from your primary care provider, while others do not. Our staff can help determine your specific requirements.

Can I continue Home Health while being treated?
Yes. In most cases, patients can continue receiving home health services while receiving outpatient wound care.

How long will treatment take?
Every wound is different. Your provider will discuss an individualized treatment plan and expected healing timeline during your evaluation.

Will my insurance cover treatment?
Coverage depends on your insurance plan and diagnosis. Our team will work with you to verify benefits and obtain any required authorizations before treatment whenever possible.