Shows / Reimbursement Readiness
Reimbursement Readiness
Business Tip for all types of wound practices. Hosted by Kathleen D. Schaum and Friends.
Episodes
- Reimbursement Readiness
Ep.31 Place of Service
In Episode 31 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum and Donna Cartwright continue the Wound and Ulcer Management Audit…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
Ep.28 Select CPT and HCPCS Codes Based on their Code Descriptions
Episode Survey In Episode 28 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum turns the focus to a fundamental but often…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
Ep, 19 Autologous Platelet Rich Plasma (PRP) or Other Blood-Derived Products for Diabetic Chronic Wounds/Ulcers
Episode 19 of Reimbursement Readiness: Business Tips for Wound Practice tackles the surge of reimbursement questions surrounding autologous platelet-rich…
- Reimbursement Readiness
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 Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
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…
- Reimbursement Readiness
NEWSFLASH: Major CMS Changes for CTPs in 2026!
Reimbursement expert Kathleen D. Schaum, M.S. and Jeremy Bowden, President of WCT USA, break down the CY 2026 Medicare PFS Final Rule's bombshell changes to…
- Reimbursement Readiness
Ep.11 Contracting
In Episode 11 of Reimbursement Readiness: Business Tips for Wound Practice, Kathleen Schaum welcomes back Amiee Coriano, CEO of AMC Medical Consulting, for an…
- Reimbursement Readiness
Special Announcement - CMS Claims Hold REVERSED!
Great News About the CMS Claims Hold! On October 15, 2025 Kathleen Schaum shared some bad news that was going to affect the cash flow of all professionals paid…
- Reimbursement Readiness
Ep.10 Credentialing
In Episode 10 of Reimbursement Readiness, Kathleen Schaum welcomes listeners back and reintroduces her guest, Amiee Coriano, CEO of AMC Medical Consultant…
- Reimbursement Readiness
Special Announcement - CMS Claims Hold May Affect Wound/Ulcer Management Professionals' Cash Flow
If you are paid according to the Medicare Physician Fee Schedule, CMS has indefinitely extended the hold on your payment. Listen to host of Reimbursement…
- Reimbursement Readiness
Ep.09 The Right Professional, The Right Work, In the Right Place!
In Episode 9 of Reimbursement Readiness, Kathleen Schaum welcomes listeners back and reviews the progress made so far in understanding coverage policies…
- Reimbursement Readiness
Ep.08 New ICD-10-CM Diagnosis Codes for Wound/Ulcer Management
In this episode, Donna Cartwright walks providers through the newly released ICD-10-CM diagnosis codes for wound and ulcer management, effective October 1st…
- Reimbursement Readiness
Ep.07 Wound vs. Ulcer: Select the Correct Diagnosis Code
In Episode 7 of Reimbursement Readiness: Business Tips for Wound Practice, Donna Cartwright joins Kathleen Schaum to tackle one of the most frequently asked…
- Reimbursement Readiness
Ep.06 Matching Diagnosis Codes to Procedures
In this episode, Donna Cartwright explains why it’s critical to match ICD-10-CM diagnosis codes with the appropriate procedure codes outlined in Medicare’s…
- Reimbursement Readiness
Ep.05 Specific Diagnosis Coding Instructions for Venous Ulcers
Episode 05 – Specific Diagnosis Coding Instructions for Venous Ulcers In Episode 5 of Reimbursement Readiness: Business Tips for Wound Practice, expert Donna…
- Reimbursement Readiness
Ep.04 Specific Diagnosis Coding Instructions
Episode 04 – Specific Diagnosis Coding Instructions In Episode 4 of Reimbursement Readiness, Donna Cartwright dives deep into ICD-10-CM diagnosis coding for…
- Reimbursement Readiness
NEWS FLASH: Major Medicare Proposed Rule Changes Affecting CTPs
NEWS FLASH: Major Medicare Proposed Rule Changes Affecting CTPs 7/23/2025 – CMS recently released proposed 2026 changes to the Physician Fee Schedule (PFS) and…
- Reimbursement Readiness
Ep.03 Report Diagnosis Correctly at Every Encounter
Episode 03 – Report Diagnosis Correctly at Every Encounter In Episode 3, coding expert Donna Cartwright joins Kathleen Schaum to begin an essential series on…
- Reimbursement Readiness
Ep.02 Q&A: Medicare Coverage Guidelines for Every Encounter
In this episode, Kathleen Schaum answers the most frequently asked subscriber questions about Medicare’s coverage guidelines for wound/ulcer management. She…
- Reimbursement Readiness
Ep.01 About LCDs and LCAs
In this foundational episode of Reimbursement Readiness, Kathleen Schaum walks listeners through the structure and importance of Medicare’s Local Coverage…
- Reimbursement Readiness
Ep.00 The Introduction Part 2
Reimbursement Readiness: Introductory Episode – Part 2 In Part 2 of the introductory episode, Kathleen Schaum introduces the foundation for all upcoming…
- Reimbursement Readiness
Ep.00 The Introduction Part 1
Welcome to the launch of Reimbursement Readiness: Business Tips for Wound Practice, presented by Kathleen Schaum and friends. In Part 1 of this special…