Frequently Asked Questions

No. WCHMO provides business consulting services directly to your practice — training, protocol development, and billing optimization. This is a business-to-business relationship, not a clinical service billed to insurance.

Your practice makes operational decisions independently. Just like you might hire an EHR consultant or billing company, WCHMO is a business vendor you pay directly.

No. Insurance credentialing applies to providers who bill insurers for patient services. As consultants, we help your staff deliver better wound care — we don't see patients or bill insurance.

Your practice handles patient care and billing. We handle training your team to do it excellently.

Most practices can begin seeing wound care patients within 4-6 weeks of engagement. Here's the typical timeline:

• Week 1-2: Assessment and protocol development
• Week 2-4: Staff training and supply procurement
• Week 4-6: Supervised launch and billing setup
• Ongoing: Monthly support and optimization

The good news: you don't need expensive equipment to start. Basic wound care requires:

• Standard examination room setup
• Basic wound care supplies (dressings, debridement tools)
• Documentation templates (we provide these)
• Optionally: negative pressure wound therapy (NPWT) equipment

We help you identify the right supplies for your patient population and connect you with cost-effective vendors.

Our standard engagement includes:

• Setup Fee: $7,500 one-time (includes full assessment, protocol development, and staff training)
• Monthly Retainer: $2,000/month for ongoing support, optimization, and consulting

For most practices, this investment is recovered within 2-3 months through reduced referral costs and new revenue.

The math is simple:

• Each referral costs $3,000-5,000 from your capitation
• In-house treatment costs $50-200 per visit
• Plus, you can bill for procedures on PPO/FFS patients

Use our ROI Calculator to see your specific numbers.

Common wound care CPT codes include:

• E/M Codes (99213-99215): Office visits
• Debridement (97597-97598, 11042-11044): Tissue removal
• Compression (29580-29581): Multi-layer bandaging
• NPWT (97607-97608): Wound VAC therapy

We provide complete billing training including documentation requirements to maximize appropriate reimbursement.

Most primary care practices can successfully manage:

• Diabetic foot ulcers — the most common chronic wound
• Venous leg ulcers — respond well to compression therapy
• Pressure injuries (Stage 1-3) — except deep/complex cases
• Post-surgical wounds — delayed healing situations
• Minor traumatic wounds — with complications

We help you establish clear criteria for when to treat in-house vs. when to refer to specialists.

Training typically includes:

• Physicians/APRNs: Assessment, treatment planning, documentation
• Nurses/MAs: Wound measurement, dressing changes, patient education
• Billing staff: Coding, documentation requirements, claim submission

We customize training to your team's experience level. Many practices find their existing nurses become wound care champions with proper training.

Part of our protocol development includes clear referral criteria. Not every wound should be treated in-house. We help you identify:

• When to refer to vascular surgery
• When hyperbaric oxygen therapy is indicated
• Signs of infection requiring specialist intervention
• Complex wounds beyond primary care scope

The goal isn't to treat everything — it's to treat the 70-80% of wounds that can be managed safely and effectively in your office.

In-house wound care can significantly improve your quality scores:

• HEDIS Diabetes Care: Better foot exam documentation and outcomes
• Medicare Star Ratings: Improved chronic care management
• MIPS: Better care coordination and outcomes reporting

When you control the care, you control the outcomes — and the documentation that proves them.

Proper wound care documentation includes:

• Measurements: Length × Width × Depth in centimeters
• Wound bed: Percentage of granulation, slough, necrotic tissue
• Exudate: Amount and type
• Periwound skin: Condition around the wound
• Treatment provided: Specific procedures and supplies
• Medical necessity: Why treatment was needed

We provide documentation templates that ensure compliance and support your billing.