What Makes SmartMed Today’s Wound Care Offerings Unique?
✓ Manufacturing: Our manufacturing partners conduct an IVR on all patients. SmartMed and our product partners guarantee no liability if payment is not received after a pre-approved IVR.
✓ No Clawbacks: SmartMed offers an insurance policy that guarantees protection for six years against clawbacks
✓ Cost: No upfront or out-of-pocket costs
✓ Pricing: Our Average Selling Prices (ASPs) consistently rank among the highest in the industry each quarter.
✓ Seamless and Efficient: We oversee the entire process, including insurance verification, order placement, billing, and revenue cycle management, to ensure a seamless and efficient experience.
✓ Payments: No payments until reimbursements are received.
✓ Best-in-class Technology: We focus on identifying early-stage and current best-of-class technology, offering reimbursement support, and building relationships with Providers and clinical practices.
✓ Patient Outcomes: We are committed to the essential elements that promote compliant, responsible, and appropriate use of skin substitutes to ensure positive patient outcomes. ✓ Services: Our services offer clarity, safety, and complete transparency at each step, from provider-patient identification, insurance verification, and appropriate product utilization to billing and invoice collections. ✓ Legal: Our partners retain one of the country's leading healthcare firms to ensure every step of our process undergoes thorough scrutiny, and we remain updated with any policy changes. ✓ Customer Service: First-in-class customer service: By centralizing our representation and managing every aspect of the process in-house, we consistently deliver superior customer service compared to our competitors.SmartMed Today is a highly specialized company that contracts with numerous key manufacturers to bring the most innovative wound care products to physicians across the US. This alone sets us apart from other wound care companies.
In the billion-dollar skin substitute industry, often opaque and riddled with misinformation, SmartMed is the only company that offers medical providers peace of mind and virtually little to no risk.
Here’s how SmartMed makes a difference
MAC regions continuously update and revise their policies, often quarterly, which makes it extremely challenging for providers to stay current. SmartMed has perfected a reproducible solution for staying current with regulatory and CMS changes, along with reimbursements, to ensure our customers and their patients receive the most current solutions and optimal reimbursements.
SmartMed Today’s Approach
-
Specific to your MAC region, reimbursement changes for grafts and broader regulatory shifts regarding skin substitutes can occur quarterly. This variability indicates that the reimbursement for a specific graft may change significantly from quarter to quarter. These unpredictable changes emphasize the importance of collaboration between your practice and our fully managed services. We will help introduce or remove grafts as necessary to optimize quarterly reimbursement and compliance for your practice.
-
Quality/Compliance: We have a robust quality, compliance, and safety department.
Billing: We have an experienced billing department which enables us to offer the following:
In-house insurance verifications.
Assistance with appeals or denials,
Practice audits: We can offer practice audits for using skin substitutes to help our provider partners minimize risk by ensuring compliant documentation.
We provide insurance to protect against potential future clawbacks.
SmartMed Today’s Process
-
Before we begin servicing a clinic, a simple document reviewing the main points of the contract and the terms of the agreement must be executed.
-
A call between the clinic’s billing department and ours to review any frequently asked questions.
-
Once a provider has identified a patient, they will complete a one-page insurance verification form and fax/email it to us so we can verify the patient's benefits.
We will provide the clinic with a benefit summary within 24 hours, outlining exactly how the patient's insurance will reimburse the graft.
-
Upon receiving a favorable benefit summary, the clinic will place an order by completing their custom order form and faxing/emailing it to us.
The intended grafts will arrive two days before the patient's scheduled service date. We also allow for consignment.
-
Inside the packaging, we provide an application log that can be faxed or emailed to confirm the graft usage.
-
We do not require upfront payment to ship grafts. EOM provides updated statements to the clinic.