Wound care center software that turns measurements into a healing trajectory
A wound care center is an outpatient program treating chronic and non healing wounds: diabetic foot ulcers, venous leg ulcers, pressure injuries and arterial ulcers. Care runs weekly for months, and healing is judged as a trajectory rather than a snapshot. Medicare coverage for hyperbaric oxygen under NCD 20.29 requires a Wagner grade III or higher diabetic wound, a failed 30 day course of standard therapy, and reassessment at least every 30 days. Neurobird holds the measurement and the documentation together.
Neurobird Wound Care Center in short
- Measure every wound the same way each visit so the trajectory means something
- Document the standard therapy trial and the 30 day reassessment that hyperbaric coverage depends on
- Track offloading, debridement and dressing selection against outcome rather than habit
- 20.29 National Coverage Determination 20.29 sets the covered indications for hyperbaric oxygen therapy, including the conditions attached to diabetic wounds of the lower extremity. Medicare.gov, hyperbaric oxygen therapy
- 30 days For diabetic lower extremity wounds, coverage requires a documented failed course of standard wound therapy of at least 30 days, plus reassessment at least every 30 days during hyperbaric treatment. Medicare.gov, hyperbaric oxygen therapy
- Pricing runs 260 to 1100 US dollars per month across 3 tiers. Early access is free.
What hospital based wound care centers actually deal with
29 requires documented failure of standard therapy and reassessment every 30 days, and that documentation is scattered across visits.
Why it stays broken
Hospital charts are built for encounters, and a wound is a longitudinal object that lives across 20 or more of them. So the measurement gets typed as free text, and the healing curve that should drive every therapy decision never exists in a form anyone can read.
A wound that has not reduced by a measurable margin in 4 weeks is usually on the wrong therapy.
A wound care center, or clinic, is a medical facility for treating wounds that do not heal.
The wound, visit by visit
A working preview. Tick an item to record it against the wound.
| Requirement | Status | Next due | |
|---|---|---|---|
| Wagner grade III, right forefoot | current | in 42d | |
| 30 day healing reassessment | due soon | in 9d | |
| Debridement, 14 sq cm | current | in 120d | |
| HBO session 12 of 40 | overdue | 3d late | |
| Offloading, total contact cast | current | in 64d |
Tick a requirement to file evidence against it.
Neurobird Wound Care Center Operations Platform
Make the wound the record instead of the visit. Measure it the same way every time, and the trajectory and the coverage documentation both fall out of the work you already do.
- 1Measure every wound the same way each visit so the trajectory means something
- 2Document the standard therapy trial and the 30 day reassessment that hyperbaric coverage depends on
- 3Track offloading, debridement and dressing selection against outcome rather than habit
- 4Report healing rate and time to heal without a manual chart pull
What changes with Neurobird Wound Care Center?
The same work, read left to right: how it runs today, and how it runs once the record is in one place.
| Today | With Neurobird Wound Care Center |
|---|---|
| Wound measurements are typed into a note as free text, so nobody can show a healing trajectory across 12 weeks | Measure every wound the same way each visit so the trajectory means something |
| Hyperbaric coverage under NCD 20 | Document the standard therapy trial and the 30 day reassessment that hyperbaric coverage depends on |
| Healing rates are quoted to the hospital board from memory because pulling them out of the EHR is a project | Track offloading, debridement and dressing selection against outcome rather than habit |
Who is this for?
Same wound, three different programs.
You run a managed program
Your healing rate is a board metric and your hyperbaric claims get reviewed. You need documentation assembled as care happens.
You treat the foot
Offloading and debridement are your levers. You need measured trajectories so you can tell which combination is actually closing wounds.
You run several sites
Sites vary and you cannot tell why. You need one measurement standard so the comparison across centers means something.
What wound care coverage actually requires
Useful if you run a program or defend a hyperbaric claim. Each source links out.
National Coverage Determination 20.29 sets the covered indications for hyperbaric oxygen therapy, including the conditions attached to diabetic wounds of the lower extremity.
Medicare.gov, hyperbaric oxygen therapyFor diabetic lower extremity wounds, coverage requires a documented failed course of standard wound therapy of at least 30 days, plus reassessment at least every 30 days during hyperbaric treatment.
Medicare.gov, hyperbaric oxygen therapyPeople in the United States living with diabetes according to the CDC national diabetes statistics report, the population that supplies most chronic foot ulcer referrals.
CDC National Diabetes Statistics ReportPercentage area reduction over roughly the first 4 weeks of care is widely used as an early predictor of whether a chronic wound will close on the current therapy.
NIH National Library of Medicine, StatPearlsEvery national coverage decision runs through a single published determination process, which is why the documentation a wound program keeps has to match the wording of the NCD.
CMS, coverage determination processHow does Neurobird Wound Care Center work?
Measure consistently
Length, width, depth, undermining and photo captured the same way each visit, so percentage area reduction is computed rather than estimated.
Assemble the coverage record
The standard therapy trial, the Wagner grade and the 30 day reassessments that NCD 20.29 requires are collected as you go, not reconstructed at audit.
Report the program
Healing rate, time to heal and amputation avoidance come out as numbers, so the board conversation runs on data rather than recall.
Wound care center software questions, answered
Key terms
- What is a wound care center?
- A wound care center is a hospital based or freestanding outpatient program treating chronic and non healing wounds: diabetic foot ulcers, venous leg ulcers, pressure injuries, arterial ulcers and surgical wounds that have failed to close. Care is typically weekly, measured, and runs for months rather than days.
- What does Medicare require for hyperbaric oxygen therapy?
- National Coverage Determination 20.29 lists the covered conditions. For diabetic wounds of the lower extremity, coverage requires a Wagner grade III or higher wound, a documented failed course of standard wound therapy over at least 30 days, and reassessment at least every 30 days during treatment, with continued coverage only if measurable healing is demonstrated.
Why does wound measurement matter so much?
Because healing is judged as a trajectory, not a snapshot. Percentage area reduction over the first weeks is the strongest early signal of whether current therapy will close the wound, and a free text note that says the wound looks better cannot produce that number.
How large is the chronic wound population?
Chronic wounds are strongly associated with diabetes, and the CDC's national diabetes statistics report puts the number of people in the United States with diabetes in the tens of millions. A meaningful proportion develop foot ulcers over a lifetime, which is what fills these clinics.
Does this replace the hospital EHR?
No. The chart stays where it is. This is the wound layer: consistent measurement, therapy history, coverage documentation and program level outcome reporting the EHR was never built to produce.
Why we are building this
Chronic wound care is one of the few clinical settings where the outcome measure is simple and almost nobody has it. Percentage area reduction over the first weeks tells you whether the current therapy will work, and it needs nothing more than consistent measurement.
Instead the measurement gets typed into a note as prose, hyperbaric coverage documentation ends up spread across visits, and the program reports its healing rate from memory.
We would rather build this with people who run wound programs. Tell us how your center measures and documents today, and where we have got it wrong.
Where the requirement comes from
The coverage rules and public health data behind chronic wound care.
- Medicare, hyperbaric oxygen therapy coverage What Medicare covers for hyperbaric oxygen and the conditions attached to diabetic wounds.
- CMS, national coverage determination process How national coverage determinations such as NCD 20.29 are made and revised.
- CDC National Diabetes Statistics Report Federal prevalence data for the population that supplies most chronic foot ulcer referrals.
- NIH National Library of Medicine, StatPearls Open clinical reference on chronic wound assessment and management.
How much does Neurobird Wound Care Center cost?
Priced per center because outcome reporting is a program level job. Patients, wounds and clinicians are unlimited on every tier.
- Consistent wound measurement
- Photo capture per visit
- Healing trajectory
- Therapy history
- Email support
- Everything in Single center
- NCD 20.29 documentation set
- 30 day reassessment tracking
- Healing rate and time to heal reporting
- Named contact
- Everything in Hospital program
- Multi center benchmarking
- Referral source reporting
- Outcome export for the board
- Onboarding included
Get free early access
If you run a wound program, tell us how measurements and coverage documentation are captured today.
Straight answer on where this is: In development. Early access gets the working preview, a say in what ships first, and early access pricing. It does not get you a login today.
Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.