For any services not rendered, a refund can be made. For any confirmed appointment canceled within 24 hours, the practice will charge a cancellation fee of $100.
All visits to the bedside have to be pre-arranged with our office. We make all possible efforts to see the patient at the earliest. However, it depends if all of the patient's required documentation is submitted for review. Once the patient is accepted, we will provide available appointment times and location settings. Each case is unique. It may take longer if the patients have a specific appointment day and time needs or if we can not reach a power of attorney.
If the patient is accepted, we can provide a wound consult on the same day in most cases and give a report. In other cases, the reports are sent within 24 hours of the patient encounter.
Each case is unique. Once the patient is accepted for the care, we will inform the patient/family how frequently the maintenance wound care visits will be scheduled.
Once we receive a payment or denial from your insurance company, we will send you a statement telling you the amount you owe. This amount should be the same amount noted on the Explanation of Benefits you received from your insurance company. That total is due upon receipt.
If you have questions, call your insurance company or WCS at 844-968-6363.
If your insurance company fails to make any payment on your account, we may seek full payment from you.
WCS takes most major credit cards payment. We also accept payments through Apple pay PayPal, Google pay and Amazon pay on our website or call us at 844-968-6363.
WCS bills your insurance company for all care provided.
Your plan's benefits determine the amount the insurance company pays.
If your insurance doesn't pay in a reasonable amount of time (generally 45 days) or doesn't cover the total cost of your bill, we may call or write your insurance provider again. We may also contact you for help in processing your insurance claim.
Except for some patients under Hospice care, we bill your insurance provider. You'll need to pay for any amount not paid by your insurance. Because of this, we suggest you talk to your insurance company about what's covered before you have treatment. If you are uninsured or underinsured, we offer flat-rate cash packages for specific procedures.
Call 1-844-968-6363 Monday through Friday, 8.30 a.m.- 5 p.m. (Pacific Time).
WCS accepts most major credit cards or payment portals through Amazon, Apple, Google, and Paypal. WCS team can work with you to make a payment plan. For some services and procedures, we can offer a flat fee.
We're committed to providing quality healthcare to everyone in the community who needs it, regardless of the ability to pay.
We accept chronic non-healing wounds only. However, we review each case before accepting it. We only accept cases where we feel we can genuinely make a difference and improve the quality of life of the patient. It's not given that your referral will be accepted by our practice. We certainly don't want to give any false hope, waste time, and resources.
We send all progress reports to the home health agency, hospice agency, or PCP within 24 hours of our visit. We also communicate with PCPs if other concerns require prompt attention.
For patients with Medi-Cal, an HMO (health maintenance organization plan—a type of insurance plan that limits coverage to doctors of a specific network), or Medicare HMO. In that case, you may not get a bill.
You will receive an invoice if your claim is denied or your HMO states that you must pay part of the charge.
That bill will list the services provided and what was or was not paid by your insurance.
If your coverage is with any other health plan, you will receive a copy of the bill if you're responsible for it.
If you don't have insurance, we will work with you to select the best way to pay before the services are rendered.
We can replace the feeding tube the same day if the patient is referred before 14:00hrs. Otherwise, we can replace it first thing, the following morning.
For Medi-Medi patients referred by home health or hospices, cancellation of confirmed or missed appointments by patients, a fee of $100 per service date will be charged to the nursing agency.
An administrative fee of $600 will be charged to Home health and hospice agencies if:
1. When home health or hospice utilizes medicare benefits; but refers the same patient to more than one wound care provider for the same services during the same treatment episode.
2. For cancellation of services by the home health or hospice before the 5th encounter of an established patient that is getting ongoing wound care by wound care surgeons.
Hospices may be responsible for payments for services on a case-by-case basis. We will accept a patient for services once the hospice agrees to the terms only. At the time of acceptance of the patient, we will inform if the hospice is responsible for charges.
We do require a HIPAA compliant contractual obligation with SNFs and Hospices. We have a standard one for that purpose, available upon request.
For patients with home health agencies, no contract is required, we are confident that our services are superior, and that once we have proven ourselves to you, you will consult our clinicians simply because our treatment and services are the best.
We will need a signed order from the medical director of the hospice for all patients under hospice care at a facility. We will also need a signed consultation request for any patient who has HMO or IPA coverage. The consultation request should specifically indicate a wound consult and Feeding tube replacement by Wound Care Surgeons.
Yes, as long as the HMO PCP sends us a signed and dated consultation request we can review the case for acceptance. However, for Hospice patients, a separate agreement for services is required.
We include a summary of charges by category on all bills and statements. If you want an invoice detailing the costs in each category, call 844-968-6363.