Reimbursement Readiness
Business Tip for all types of wound practices. Hosted by Kathleen D. Schaum and Friends.
- Indexed episodes, last 90 days
- 7
- Latest publication
- Sep 17, 2026
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- Earliest in this view
- Jul 9, 2026
Latest episodes
Ep.29 Plan of Care and Progress Notes (opens the original)
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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 Part 3, focusing on two of the most important components of the medical record: the plan of care and progress notes. Donna explains how a comprehensive plan of care supports medical necessity, communicates treatment goals, tracks changes over time, and helps auditors understand why specific services, procedures, and
Ep.28 Select CPT and HCPCS Codes Based on their Code Descriptions (opens the original)
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Episode Survey In Episode 28 of Reimbursement Readiness: Business Tips for Wound Practice , Kathleen Schaum turns the focus to a fundamental but often overlooked part of reimbursement: understanding the full descriptions behind CPT and HCPCS codes. As denials and audit failures continue to expose gaps between documentation and reported codes, Kathleen explains why knowing the code number alone is not enough. Using examples from debridement, CTP applications, autologous blood-derived products, ne
Ep.27 Wound Description and Measurements (opens the original)
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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 Part 2, focusing on wound and ulcer measurements and descriptions. Accurate documentation in these areas is essential not only for clinical continuity, but also for demonstrating medical necessity and supporting reimbursement during pre- and post-payment audits. Donna explains what auditors expect to see in the medic
Ep.26 Guidelines for Reporting an E/M Service with Modifier 25 and a Minor Procedure (opens the original)
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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: reporting an evaluation and management service with Modifier 25 when a minor wound or ulcer management procedure is performed during the same encounter. Kathleen reviews the 2026 NCCI Manual guidelines and explains why the decision to perform a minor procedure—and the related pre-, intra-, and post-procedure work—is
Ep.25 Audit Readiness - PART 1 (opens the original)
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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 focused on the documentation auditors expect to find in the medical record. This first installment examines the history and physical, showing how incomplete, inconsistent, or overly broad documentation can undermine medical necessity and place reimbursement at risk. Donna explains how to make each record self-contained, c
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