Reimbursement
ProCare's reimbursement specialists work with our hospital partners to ensure optimum financial success.
ProCare has a certified professional coder that assists new program development with the billing and reimbursement needs of the wound healing center. Onsite reimbursement in-services are provided to the facility as well as assistance in creating protocols for registration, pre-authorization and self-pay procedures.
ProCare will assist the new center in establishing charges for procedures and services provided and incorporate those charges into the facility's charge master. With the ongoing review and data analysis, each program will verify that the appropriate charges and reimbursement levels are obtained.
All of our patient information is tracked on a confidential database and healing rates are compared with other centers nation wide. We are committed to quality care striving to achieve wound healing rates above the national average. The database allows us to not only compare our healing rates with other centers nation wide, but allows us to analyze a wide array of data from healing rates, specific clinician healing rates, etiology of various wounds, referral sources and many more. The state of the art electronic charting provides the most specific, patient focused data that is compliant with JCAHO and CMS requirements. The ability to keep primary and referring physicians up to date on their patient's progress is outstanding with special attention being made to the one to one contact that the wound healing center maintains with the physician.
This state of the art documentation system not only provides our centers and physicians with the most up to date information. It assists our hospital partners with the tedious process of auditing and coding to hasten the billing process in an efficacious manner while upholding all quality standards required by HIPAA, JCAHO and CMS.
