Wound Care Articles and Insights
November 18, 2015

Why Rightsourcing Is The Smartest Move For Your Wound Center

Melissa Bailey

You can – take back control over your wound center.

You can – positively impact your net revenue by insourcing instead of outsourcing -but are you ready?

Do you – feel your center would be safe from compliance issues if you insourced?

Do you – have someone to audit your documentation daily to keep you safe?

Do you – have an expert in wound center management on staff that knows how to navigate the tricky waters of wound center reimbursement?

Do you – have wound care experts on your billing staff to make sure every penny due your clinic is collected?

Do you – have a wound center specific EMR with wound center specific EMR support.

Do you – have a whole team of individuals who, combined, possess well over 200 years of experience to provide support for your centers?

If you are considering bringing the management of your wound center in-house you will need the services of an expert to help guide and protect your center for the very reasons listed above. There are too many outside factors that can negatively affect your wound center quickly if you don’t have help. Just keeping up with the constantly changing reimbursement rules for this specialty can make one’s head spin.

Wound care is a much needed and little understood service line for hospitals. It is unlike any other service line you offer. According to the Centers For Disease Control and Prevention more than one-third (78.6 million) U.S. adults are currently obese. If these trends continue all states could see obesity levels above 44% by 2030.

Additionally, 30 million Americans (380 million worldwide) are currently affected by Diabetes. By 2030 it is projected that at least 550 million people will have diabetes, approximately 10 percent of the world’s adult population. This alarming growth in both obesity and diabetes translates to a rapid increase in chronic wounds and the need for specialized wound care. Hospitals need this service line to provide patients the continuum of care they need and deserve.However, do you need the high expense associated with the large companies who manage this service line? Do you need them to tell you what to do anymore?

The answer is no. If you have a wound center that has been operating for more than two or three years, chances are it is your internal team who is the key contributor to its success, not the management company. You will still need tools and support to protect your center and its revenue but you probably will not need the expensive and intensive hands- on attention that you have been receiving from your management company.

Going cold turkey and managing your wound center in house with no expert assistance will expose you to the unsafe landscape of RAC audits and lawsuits, which are becoming more prevalent these days. So if insourcing instead of outsourcing can leave you vulnerable, what is the answer? Righsourcing the management of your wound center is the answer.

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