CPA Services Built for Outpatient Wound Care
 

Wound care centers operate at the intersection of outpatient clinical 
services and complex Medicare billing — a combination that demands 
accounting expertise most general CPA firms simply don't have.

At Soriaga & Associates, we understand outpatient wound care billing 
codes, the financial implications of hospital-based versus freestanding 
wound care models, and the Medicare reimbursement structures that 
govern your revenue cycle.

WHAT WE HANDLE FOR WOUND CARE CENTERS
 

• Monthly bookkeeping aligned with wound care revenue cycles

• Medicare and insurance payment posting and reconciliation

• Payroll for clinical and administrative staff

• Business and physician tax preparation and planning

• Financial statements for lenders and investors

• Fractional CFO services for growing wound care practices

• Cost report assistance where applicable

WHY WOUND CARE NEEDS A SPECIALIST CPA
 

The wound care revenue cycle — advanced wound dressings, debridement 
codes, negative pressure wound therapy, hyperbaric oxygen — involves 
Medicare-specific billing that has direct implications for your 
financial reporting. A CPA unfamiliar with these categories may 
misclassify revenue or miss legitimate deductions tied to 
procedure-specific costs.
 

We work with wound care centers to align their accounting with how 
CMS actually reimburses their services — so your books reflect your 
real financial picture, not a generic approximation of it.

FREQUENTLY ASKED QUESTIONS
 

Q: How is wound care accounting different from other medical 
practice accounting?
A: Wound care centers typically bill under specific HCPCS and CPT 
codes tied to procedures rather than visits. Revenue recognition, 
payer mix analysis, and cost allocation all need to account for 
procedure-level billing. A CPA who works with general medical 
practices may not be familiar with how wound care reimbursement 
flows through your books.

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Q: Do wound care centers need to file Medicare cost reports?
A: It depends on whether your wound care center is hospital-based 
or freestanding. Hospital-based wound care departments are typically 
included in the hospital's cost report. Freestanding outpatient wound 
care centers generally do not file standalone Medicare cost reports 
but must maintain detailed records for any Medicare audits. We help 
you understand your specific obligations.

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Q: Can you help with both the clinical billing side and the 
accounting side?
A: We focus on the accounting, tax, and financial reporting side — 
not clinical billing. However, we work closely with your billing team 
or billing service to ensure that revenue is recorded accurately in 
your books and that your financial statements reflect your true 
payer-specific performance.

Serving wound care centers near Northwestern Memorial, Rush Medical 
Center, and throughout the Chicago suburbs including Lisle, Naperville, 
Westmont, Downers Grove, and Oak Brook.

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Call 630-491-1268 for a free wound care accounting consultation.