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Preparing Your Wound Care Practice for January 1st
No, this is not a predictions post. We are not going to try to guesstimate exactly where the per sq cm skin sub substitute reimbursement in the PFS will wind up. We are not going to talk about what will happen with the proposed LCDs (although don’t forget to submit comments by November 1st) or WISeR (if the government actually moves forward with it). All of these are critically important subjects which we have discussed here in the past. We continue to work with others and advocate for the community to achieve the best possible outcome.
However for the purposes of this post, the only prediction we are going to make is that skin substitute reimbursement for 2026 is going to be reduced in one way or another, and that will tighten margins for both your practices and the industry. So what should you be doing to prepare for that?
At Venture we believe the New Year will bring a renewed focus on Efficiency and Diversification. Practices who are ready to run efficiently across both standard of care and advanced wound technologies will be in the best position to absorb any reimbursement changes that come our way. This means reducing ordering and reimbursement paperwork and saving time and effort for your providers and staff so they have more time for patients.
We expect skin substitutes to remain a critical and cost-effective technology for your patients in 2026. However other advanced wound care technologies are likely to take on an increasingly important role as well. Efficient debridement technologies, advanced diagnostics and other advanced technologies improve patient outcomes, provide a strong stepping stone to skin substitutes, and can generate additional practice revenue. Diversifying your practice to appropriately incorporate a range of advanced wound care technologies is an important step to prepare your practice for 2026.
What is the best way to accomplish these goals in Q4 and prepare for the New Year? We suggest that you work with suppliers and distributors who are laser focused on providing you with the best wound care solutions and making your operations as frictionless and efficient as possible. For the next several weeks we are going to be communicating with you via our blogs and other social media channels to lean into these two themes of efficiency and diversification. Venture has led the way on both of these fronts and we look forward to discussing ways to make your practice run more smoothly and successfully in 2026.
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Avoiding wound care for free, a.k.a. surviving a “bad faith” audit.
Audits are meant to protect against fraud, but in wound care many providers are now facing aggressive “bad faith” audits driven by financial incentives and bias. This blog explores what’s behind the rise in these audits, their impact on patients and practitioners, and the steps providers can take to prepare, push back, and protect their practices.
The price patients will pay for the PFS
After a recent survey we conducted, it is clear most clinicians agreed skin substitutes are highly effective and essential, warning that the proposed rates would reduce patient access, hinder innovation, and threaten the viability of many practices. Read the blog to learn more about our findings.
The Case For Mobile Wound Care: An Essential Component Of Chronic Wound Management
Mobile wound care is a critical yet often misunderstood part of chronic wound management, providing advanced treatment to patients who can't easily access traditional care. Far from being a fringe service, it’s a large and growing field—with nearly 30,000 clinicians billing for mobile wound services in 2023 alone—and plays a key role in addressing the rising burden of chronic wounds, especially in nursing homes. As wound severity increases, staffing shortages persist, and the population ages, mobile providers are filling care gaps through high-volume, high-quality services and innovative tools like AI-assisted telehealth and near-infrared spectroscopy. To ensure better outcomes and lower healthcare costs, policymakers and payers must recognize mobile wound care as an essential, professional solution—not a peripheral one.
Venture Position on CMS and MAC Skin Substitute Proposals
Venture Medical, LCC is sharing our position on the CY2026 Medicare Physician Fee Schedule and our future recommendations.
How CMS Fudged the Math:
If we want reimbursement systems that reflect real-world care and outcomes, we need to speak up. The comment period is now open. Read the full breakdown from John Schroeder and Howard Walthall to learn more about how you can join the call for fair, evidence-based reimbursement.
