Insurance Billing

Wound Care Resources specializes in providing surgical dressings and supplies for VAD driveline exit sites.  Our billing expertise maximizes insurance benefits enabling patients to receive the most effective products for their specific needs.

Medicare Patients

Wound Care Resources bills for VAD surgical dressings and supplies for patients covered by Medicare B and many Medicare advantage plans. All products are currently covered by Medicare B including prepackaged customized dressing trays, individual surgical dressings and other necessary products such as drapes, bonnets, gloves, securement devices, water barriers, cleansers and more.

WCR automatically bills both Medicare B as well as patients’ supplemental policies. Patients who have a supplemental policy that covers dressings and supplies will have little or no out-of-pocket copay expense.

Medicare guidelines require WCR to send statements to patients informing them of billing activity. Hardship waivers are provided for those financially unable to pay copay amounts.

All orders to be billed to Medicare begin with a completed order form signed by the patient’s doctor. This completed form and a copy of patient demographics will be faxed to us by a member of the patient’s VAD team.

Medicaid Patients

Wound Care Resources is constantly working to gain access into state Medicaid programs for the purpose of billing VAD supplies. As of November, 2017, WCR is an in-network provider with the following state Medicaid programs. *

AK, AZ, AK, DC, DE, GA, HI. ID, IL, IN, IA, KY, MD, MI, MN, MO, MS, MT, NC, NE, NH, NM, OH, PA, RI, SD, TN, VT, VA, WA, WI, WV

 

Upon receiving an order, WCR will contact the patient’s state Medicaid program to determine his/her dressing and supply benefits. Patients will receive a personal phone call from a member of the WCR support team to discuss insurance coverage before any supplies are shipped. Products not covered by Medicaid may be purchased through our distributor company Advanced Medical Resources at deeply discounted pricing.

All orders to be billed to Medicaid begin with a completed Wound Care Resources order form signed by the patient’s doctor. This form and a copy of patient demographics should be faxed to us by a member of the patient’s VAD team.

*  WCR can sometimes obtain an authorization to bill a state Medicaid without having in-network provider status.

 

Commercial Insurance Patients

Wound Care Resources is an in-network provider with many commercial insurance companies nationwide. After an order is received, a member of our support team will call the patient’s insurance company (and secondary or supplementary insurance company when available) to determine surgical dressing and supply benefits.  The patient is then called to discuss his coverage before any products are shipped.

All orders to be billed to commercial insurance begin with a completed order form signed by the patient’s doctor. This form and a copy of patient demographics should be faxed to us by a member of the patient’s VAD team.