click the image for case information

click the image for case information

Qualifying wounds include:

• Diabetic foot ulcers
  
• Venous leg ulcers
  
• "Other" wounds

Diabetic wounds:

• Failed conservative care for 30 days
• Edema control
• Infection control - no cellulitis, osteomyelitis
• Removal of foreign debris or cancer
• Debridement
• Appropriate off-loading of pressure
• Adequate blood flow
• Smoking cessation
• Diabetic control
• Wound has no exposed tendon, muscle, joint capsule, bone, or sinus tracts
• Wound is at least 1 square cm in size
• Product is cleared by the FDA for use
• 1No active infection
• Patient has insurance coverage by Medicare, Ambetter, or Tricare Insurance
•      Unfortunately, UHC and Humana Medicare does not cover this life-changing treatment

Venous Leg Ulcer(s):

• Failed conservative care for 30 days
• Edema control
• Venous hypertension and lymphedema controlled
• Infection control - no cellulitis, osteomyelitis
• Removal of foreign debris or cancer
• Debridement
• Compression therapy and limb elevation
• Adequate blood flow
• Smoking cessation
• Diabetic control
• Wound has no exposed tendon, muscle, joint capsule, bone, or sinus tracts
• Wound is at least 1 square cm in size
• Product is cleared by the FDA for use
• No active infection
• Patient has insurance coverage by Medicare, Ambetter, or Tricare Insurance
•      Unfortunately, UHC and Humana Medicare does not cover this life-changing treatment

All other wounds:

• Failed conservative care for 30 days
• Infection control - no cellulitis, osteomyelitis
• Removal of foreign debris or cancer
• Debridement
• Wound has no exposed tendon, muscle, joint capsule, bone, or sinus tracts
• Wound is at least 1 square cm in size
• Product is cleared by the FDA for use
• No active infection
• Patient has insurance coverage by Medicare, Ambetter, or Tricare Insurance
•      Unfortunately, UHC and Humana Medicare does not cover this life-changing treatment

 We all know that wounds are not limited to the limbs. This therapy also works for pressure ulcers to the buttocks, coccyx, skull, etc. Using Advanced Human Cellular and Tissue Product(s) (HCT/P) and Skin Substitute Therapy in these areas can provide significant and quick regeneration and repair of damaged tissue. 

The standard protocol includes:
     1. Prior authorization is generally required
     2. Treatment consists of weekly replacement of the membrane wrap
     3. No daily dressing changes
     4. If no improvement in the wound after 4 weeks of treatment occurs, treatment is aborted. 

How to access this treatment:     Intake Form (fillable form, please fax to our office at 402-296-2197)

• Provide documentation of current treatment that has occurred for the previous 30 days.
• ​Provide patient health history for evaluation.
• ​All provided information will be reviewed for qualification criteria.
• ​I will meet the patient for discussion, evaluation, and consent. If a patient is generally immobile due to physical limitations, pain, etc.,  I will go to their home, nursing facility. or rehab facility.
• ​I will ensure that criteria is met after evaluating the history and the wound.
• ​My supplier will obtain the prior authorization.
• ​If approved, the product will be shipped to me for placement.
• ​I will evaluate the progress of the wound weekly and replace the product. Once replaced, it is best to leave the wound alone.
• ​All billing will be completed by our team and the patient should not have any out of pocket expenses.

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​Please note: I will be treating the patient's wound(s) only. I do not want to impede or interfere with any other aspects of the patient's healthcare. Their primary care provider will continue to be responsible for all other aspects of the patient's healthcare needs and I will keep them updated with the patient's progress on a weekly basis.


What happens if the wound does not respond to treatment after 10 weeks?
If there is minimal or no measurable improvement after 10 weeks. Treatment is stopped for 30 days and conservative treatment is resumed. After the 30 days, I will repeat the previous steps to attempt to promote healing again.
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​Final thoughts:
I have previously worked in wound care and this is one of the most cutting-edge treatments that has the potential to dramatically change how chronic wounds are treated. If the wound is not responding to conservative care after 30 days, what is there to lose? 

Take the steps to help your patients achieve wound healing with minimal disruption in care, treatment, and lifestyle. Contact my office so that we can help you help your patient.
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Wound of 72 year old male with severe PVD. Wound on right side of foot present and non-healing for > 1 year. First picture was prior to treatment. Second picture was just one week later!