Are You Exposed?
Most organizations don’t realize they’re exposed until after an audit or investigation.
By then, it’s too late. Prepare early and identify failure flags before regulators do. If any of the following sound familiar, it’s time to take a hard look—and talk to a wound care compliance expert.
Failure Flag Scan
You’ve been audited beforeIf CMS or a contractor has audited your wound program—even with no findings—your risk increases. Passing once does not equal immunity. It means you’re on the radar.
High skin substitute utilization
Utilization above regional peers, frequent JW modifier usage, new providers billing almost exclusively skin substitutes, or excessive applications per patient are all red flags. These patterns draw attention fast.
Limited compliance visibility
If you don’t have real-time data or systems that surface compliance risks early, you’re operating blind. Visibility isn’t optional. It’s protection.
No wound-specific documentation system
Generic EMRs miss critical wound care requirements. Wound-specific documentation tools are essential to support medical necessity, utilization, and defensible billing.
If any of these flags apply—or if you have unanswered compliance concerns—our wound compliance experts are ready to help. We bring over 24 years of real-world wound care experience.
