Wound Care: Medicare Audits & The Skin Substitute Surge – MedLearn Publishing

Wound Care: Medicare Audits & The Skin Substitute Surge – MedLearn Publishing

Federal contractors – Recovery Audit Contractors (RACs) and Unified Program Integrity Contractors (UPICs) – have increasingly targeted wound care claims, particularly involving expensive skin substitutes billed under Medicare Part B. In 2023 alone, over $1.6 billion was spent on these products, prompting heightened audit activity from Qlarant, Novitas, and others. This intense scrutiny stems from concerns about clinical efficacy, appropriate use…