About Our Wound Management Program
The wound care specialist assigned to your facility will be responsible for the ongoing relationship with your treatment staff, and for providing them with product support and clinical education when needed.
We are committed to working with you to ensure that the level of knowledge and quality of resident care in your facility continues to grow – and that your residents get the best possible wound care available.
Program Overview
Our wound care program is designed to meet four key objectives:
- Enhance the quality of resident care
- Reduce wound care related costs for your facility
- Increase educational resources that are available to your staff
- Provide all mandatory CMS documentation
We accomplish these objectives by providing the following:
Education
All good
clinical care, including wound care, starts with proper education and training.
The CMS DMEPOS supplier
standards require
all suppliers to provide appropriate training and education. To meet this
requirement, we provide a licensed, clinical wound specialist to educate your
staff.
Initial education is designed to instill a solid foundation in wound care basics. Ongoing education is then tailored to the level of each individual facility and its clinical staff.
Advanced wound care products
Coast to Coast work with most major manufacturers. We are therefore able to provide a wide variety of products and protocols to meet your most challenging clinical scenarios. As a participating Medicare Part B provider, we bill the resident’s insurance directly. NEVER a cost to your company or the patient. This includes Medicare Part B, Medicaid, HMO’s, and many other primary payers. We verify insurance prior to providing products to your residents. This eliminates these items from your budget and saves you money. In most cases, Medicare Part B covers surgical dressings and biologics for pressure ulcers, surgical wounds, vascular and neuropathic ulcers, burns, and many other wound etiologies.
Frequently Asked Questions
We make money every month from Medicare for our Part B billing. Why should we let your company do the billing?
Many companies receive a monthly reimbursement check from Medicare. However, relatively few companies do an actual cost analysis to determine their expenditures versus reimbursement. Typically, we find that most facilities are spending considerably more than Medicare is reimbursing them. We can help in your decision by doing an analysis of your wound care practices and cross checking billable products against money reimbursed from Medicare Part B.
Following this type of analysis, many of our clients have realized that they are tying up hundreds, if not thousands, of dollars every month in shipping and receivables management. Once these product costs are eliminated from your budget, this can considerably increase your available funds each month depending on the number of residents in your facility who qualify for our program.
Which products do you use?
We search out the best products on the market and individualize the protocols
to meet the specific needs of your resident. To do this, we will use some
name brand products that you recognize, and some less familiar brands. In every
case, our products are of superior quality and warranted to meet rigorous
standards.
Many products on the market today are not reimbursable by Medicare. The only products we are able to supply are those approved by Medicare. This may mean that in rare instance, certain “newer” dressings are not billable under Medicare.
We do not have many wound residents.
Do we still qualify for your program?
We recognize that you may not have many wound residents in your facility
today. Often, facilities are reluctant to accept new admissions with
serious wounds because of the increased costs in supplies. By eliminating
the concern of higher costs associated with wound dressings, many facilities
are more willing to admit these individuals. Our goal is to build a
relationship with your facility and to help meet the needs of your present and
future residents.
We have an exclusive buying contract with “Company X.” How can we utilize your program?
Because you do not purchase any products from our company, you do not violate your current buying contracts. You continue to purchase all of your supplies for Part A residents under the same exclusive buying agreement. However, we can provide dressing supplies for your Part B residents, billing for the residents’ Medicare Part B benefits, saving your facility additional dollars by removing the cost of those supplies from your budget. By working with COAST TO COAST, you can continue to enjoy the benefits of low purchase prices with your exclusive buying contract. However, you would purchase fewer products.
Will the facility or resident’s
family be billed?
As an experienced billing company and participating Medicare Supplier, we
recognize and accept the risk that we may be denied for claims. Because
we have agreed with Medicare to accept assignment of all claims, in the event
of a denial, we do not seek payment from
the resident, resident’s family, or facility, but rather, we follow the
Medicare Appeals Process to recoup denied charges. Residents may be
responsible for coinsurance and deductibles as required by law.
Our residents’ wounds are not that bad. We really do not need clinical support to help heal our residents with wounds. Why should we utilize your program?
If your clinical staff is comfortable with wound management, we still have services that can be extremely beneficial: We are available for educational support for any difficult cases, or atypical wounds; we provide supplemental documentation to support your treatment plans; we provide quarterly educational offerings for your staff; we can provide supplemental documents for CQI/QA reports for state surveys; and we will reduce costs to your facility. This program is to help your clinical staff better understand the products we have available and is offered at no cost to your facility.