Business Tip for all types of wound practices. Hosted by Kathleen D. Schaum and Friends.
Latest episodes
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14 min
Ep.30 ADR vs Medicare Denial: Knowing the Difference Can Impact Your Revenue
In Episode 30 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum welcomes Amiee Coriano to clarify an important distinction that can directly affect reim…
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14 min
Ep.29 Plan of Care and Progress Notes
In Episode 29 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum and Donna Cartwright continue the Wound and Ulcer Management Audit Readiness Series with…
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19 min
Ep.28 Select CPT and HCPCS Codes Based on their Code Descriptions
Episode SurveyIn Episode 28 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum turns the focus to a fundamental but often overlooked part of reimbursemen…
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17 min
Ep.27 Wound Description and Measurements
In Episode 27 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum and Donna Cartwright continue the Wound and Ulcer Management Audit Readiness Series with…
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18 min
Ep.26 Guidelines for Reporting an E/M Service with Modifier 25 and a Minor Procedure
In Episode 26 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum addresses a common coding practice that can create serious repayment risk during audits:…
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16 min
Ep.25 Audit Readiness - PART 1
In Episode 25 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum and Donna Cartwright launch a new Wound and Ulcer Management Audit Readiness series focu…
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12 min
NEWS FLASH: 2027 OPPS and MPFSP Proposed Rules
The 2027 OPPS and MPFS proposed rules are here. Sheet CTPs hold steady, non-sheet CTPs move to a size-based payment model, ABDP rates rise in OPPS only, and SCSA gets a whole new c…
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17 min
Ep.24 National Correct Coding Initiative Edits
Coding correctly is about more than selecting the right CPT code. Understanding National Correct Coding Initiative (NCCI) edits is essential to avoiding denied claims, preventing c…
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20 min
Ep.23 Documenting Correctly
Documentation errors don't just create compliance headaches—they can lead to denied claims, recoupments, and unwanted audit scrutiny.In this episode of Reimbursement Readiness, Kat…
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11 min
Ep.22 Insurance Benefit Verification
Episode 22 of Reimbursement Readiness: Business Tips for Wound Practice focuses on one of the most overlooked causes of denied claims and repayment demands in wound care: insurance…
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13 min
Ep.21 Consolidated Billing
Episode 21 of Reimbursement Readiness: Business Tips for Wound Practice addresses one of the most common—and costly—sources of claim denials in wound care: Medicare consolidated bi…
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19 min
Ep.20 WISeR Prior Authorization: First-Month Real Life Experience
Episode 20 of Reimbursement Readiness: Business Tips for Wound Practice delivers a timely field report on the WISER Prior Authorization Program—based on real, early experiences fro…
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16 min
Ep, 19 Autologous Platelet Rich Plasma (PRP) or Other Blood-Derived Products for Diabetic Chronic Wounds/Ulcer…
Episode 19 of Reimbursement Readiness: Business Tips for Wound Practice tackles the surge of reimbursement questions surrounding autologous platelet-rich plasma (PRP) and other blo…
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19 min
Ep.18 Physicians' FAQs about CTP Purchase & Application in 2026
Send us your feedback: Audience Survey------In Episode 18 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum welcomes reimbursement expert Donna Cartwrig…
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15 min
Ep.17 2026 OPPS Payment Changes for CTPs Will Not Happen “By Magic”
As 2026 begins, Kathleen Schaum opens Episode 17 of Reimbursement Readiness: Business Tips for Wound Practice with a candid assessment of the turbulence wound care teams endured in…
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8 min
Ep.16 Incident-to-Billing
In Episode 16 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum addresses one of the most frequently misunderstood topics in Medicare reimbursement: Inc…
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7 min
Ep.15 WISeR Model 2026
In Episode 15, Kathleen Schaum and Amiee Coriano walk Wound Care Today USA subscribers through CMS’s new WISeR Model, a national initiative designed to reduce fraud, waste, and abu…
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15 min
Ep.14 2026 Home Health Payment Updates
Kathleen welcomes Yesenia Banks to break down Medicare’s 2026 Final Rule for Home Health Agencies and DME suppliers, rounding out the series on year-ahead payment policy. Yesenia e…
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19 min
Ep.13 Payment: OPPS Final Ruling (2026)
Kathleen walks hospital-owned outpatient wound and ulcer management teams through the OPPS Final Rule for 2026, clarifying how CMS turns policy into payment via APC groupings and w…
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18 min
Ep.12 Payment: MPFS Final Ruling (2026)
In Episode 12 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum unpacks the 2026 Medicare Physician Fee Schedule (MPFS) Final Rule—a document that deter…