Question 1

How do I get prior authorization for NPWT?

Accepted Answer

Start an NPWT request in WoundGenie. Details you have already documented, such as the wound, measurements and diagnosis, appear with their source for you to accept or edit. Draft the medical necessity narrative, generate the packet, and send it through your usual payer process. The payer decides coverage.

Question 2

Do skin substitutes need prior authorization?

Accepted Answer

It depends on the payer, the product and the setting, so check your payer's current policy. When a request is needed, WoundGenie helps you prepare a skin substitute request from information already in the chart and assemble a packet for your team to send.

Question 3

How do I write a medical necessity letter for wound care?

Accepted Answer

WoundGenie helps you draft the medical necessity narrative from details documented in the chart, such as wound history, measurements and treatments. You review and edit the wording, and each revision is kept so you can see how the narrative changed.

Question 4

Which prior authorization requests does WoundGenie support?

Accepted Answer

WoundGenie prepares requests for NPWT, skin substitutes, debridement and DME. Each request reuses information already in the chart, shows the source of every suggestion, and produces a packet you download and send.

Question 5

Does WoundGenie submit prior authorization requests to payers?

Accepted Answer

No. WoundGenie prepares the packet, and you or your team send it through your usual payer process. WoundGenie does not connect to payers and does not decide whether a request is approved.

Question 6

Can I see where each detail in a request came from?

Accepted Answer

Yes. Every suggestion in a request shows its source in the chart. You review each one, then accept or edit it before it is added, so nothing goes into the request without your review.

Prior authorization requests, built from the chart

NPWT request, draft

How it works

Start a request

Review chart suggestions

Draft the narrative

Generate the packet

What you get

Four request types

Reuses chart data

Source-backed suggestions

Necessity narrative drafting

Revision history

Packet generation

FAQ

Related features

See WoundGenie in action