Complete Revenue Recovery for Wound Care Providers
Denied Claims + Underpaid Claims + Forward Solutions
Two powerful programs to recover every dollar you're owed. Retroactive denied Medicare and Medicare Advantage claims at OLD higher rates, PLUS underpayments on "zero-balance" adjudicated claims from ALL payers. Both programs are 100% contingency-based—you pay nothing unless we recover money for you.
🔥 Medicare & MA Denied Claims Recovery
5-year lookback at the OLD higher reimbursement rates before the January 1st cuts. Recover what you're owed.
💰 Underpayment Recovery — All Payers
22% average recovery on "zero-balance" adjudicated claims. Money left on the table from BCBS, Aetna, United, Humana, and more.
Past 6 Months
(Effective January 1st)
Recovery (All Payers)
Lookback at OLD Rates
Zero Upfront Cost
Two Programs. One Goal: Maximize Your Revenue.
Whether your claims were denied by Medicare or Medicare Advantage, or underpaid by any insurance payer, we have a proven solution to recover your money—with zero risk to your practice.
Medicare & MA Denied Claims Recovery
For Medicare and Medicare Advantage Wound Care Denials
Were your skin graft claims denied or written off? Our AI-powered platform identifies and recovers denied Medicare and Medicare Advantage claims—reimbursed at the OLD higher rates from when you performed the procedures.
- Covers both Medicare and Medicare Advantage denials
- AI-assisted review aligned with LCD requirements
- Appeals and dispute management handled for you
- Non-disruptive to your current billing workflow
⚡ 100% Contingency — You pay nothing until we recover your money
Underpayment Recovery
For Zero-Balance Adjudicated Claims — All Payers
Your "paid" claims may be underpaid by 10-35%. Our proprietary forensic audit software analyzes adjudicated claims AFTER your RCM process is complete—finding money that traditional systems miss across ALL insurance payers.
- ALL payers: BCBS, Aetna, United, Cigna, Humana & more
- Starts AFTER your billing team finishes (day 91+)
- Claims going back 1-3 years based on payer contracts
- All negotiations and settlements handled for you
⚡ 100% Contingency — Zero out-of-pocket costs to your practice
How Each Program Works
Both programs are designed to be non-disruptive to your existing operations. We handle the heavy lifting.
Denials Medicare & MA Claims Recovery Process
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1
Identify Denied Claims
We analyze your denied Medicare & MA wound care claims from the past 5 years
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2
AI-Powered Review
Our platform validates documentation against LCD requirements
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3
Appeal & Recover
We file appeals and negotiate with Medicare & MA plans on your behalf
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4
Get Paid at OLD Rates
Recovered claims are reimbursed at the higher pre-January rates
Underpayments All-Payer Recovery Process
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1
Upload 835s & 837s
Securely upload remittance files to our HIPAA-compliant platform
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2
Forensic Audit
Proprietary software identifies underpayment patterns vs. contracts
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3
Payer Negotiation
We establish precedents and handle all disputes with insurers
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4
Direct Recovery
Recovered underpayments are remitted directly to your facility
Get Grafts Paid Going Forward
Protect your practice from denials and clawbacks with AI-powered compliance that ensures your claims meet LCD requirements before submission.
🛡️ URGENT: CMS WISeR Model Defense
CMS is launching its AI-driven denial system (WISeR) in January 2026. Shield your practice with AI that fights AI—our platform validates documentation against the same LCD criteria CMS will use to deny claims.
Automated Assessment
AI instantly analyzes wound care documentation against LCD guidance.
⚡ 90% faster than manual reviewIntelligent Letters
Automated Letters of Medical Necessity for chronic wound treatment.
Compliant documentation in minutesCMS WISeR Defense
Proactive defense against AI-driven prior authorization denials.
🛡️ Future-proof your practiceAudit Support
Secure HIPAA-compliant storage with complete audit trails.
đź“Š Audit-ready documentationHow the Compliance Platform Works
Upload Clinical Notes
Drag and drop patient chart notes into our secure platform
AI Analysis
Platform analyzes against LCDs for your MAC region
Letter Generation
Produces structured Letter of Medical Necessity
Compliance Check
Flags gaps before submission to prevent denials
Secure Storage
HIPAA-compliant database with audit trails
Audit Support
Quick retrieval for Medicare or MA audits
Skin Graft Products for the New Reimbursement Landscape
Continue providing advanced wound care with products optimized for post-January rates.
ActiGraft Autologous Products
Stable 2026 reimbursement rates for autologous wound healing—completely unaffected by the January 1st skin graft rate reductions.
- ActiGraft PRO: $2,107/app (Hospital)
- ActiGraft PLUS: $1,065/app (Office)
- Point-of-care autologous technology
- Medicare & Medicare Advantage accepted
Skin Substitute Grafts
Continue providing skin substitutes profitably at the new lower rates with our partner brands at deeply discounted physician pricing.
- Orion Grafts: 50% discount pricing
- Amnio Quad-Core: Only 4-layer on market
- $127/sq cm national avg reimbursement
- Medicare reimbursed at new rates
Proven Results for Wound Care Providers
Real recoveries for wound care practices just like yours.
Medicare & MA Denials Recovery
Multi-Location Wound Care Network
Recovered from denied Medicare & MA skin graft claims across 12 wound care centers in 5 states
Medicare & MA Denials Recovery
Mobile Wound Care Provider (Southeast)
Recovered from denied claims for in-home wound care and skin graft services
All-Payer Underpayment Recovery
Podiatry & Wound Care Practice (Texas)
Recovered in underpayments on diabetic foot wound treatments
All-Payer Underpayment Recovery
Vascular Surgery & Wound Center (Florida)
Recovered from BCBS and United on chronic wound and skin graft claims
💡 We serve all wound care providers. Whether you're a mobile wound care provider, independent clinic, podiatrist, vascular surgeon, or multi-location wound care network—we recover denied and underpaid claims for practices just like yours.
Complete Wound Care Revenue Protection
Recover what you're owed, get paid going forward, and protect against clawbacks—all with zero upfront cost.
🔥 Denied Claims
Medicare & MA Lookback
đź’° Underpayments
All-Payer Zero-Balance Audit
🛡️ Compliance
WISeR Defense & LCD
🚀 Products
ActiGraft & Skin Substitutes