# 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.

- URL: https://neurobird.com/woundcare/
- Product: Neurobird Wound Care Center Operations Platform
- Niche: wound care center
- Buyer: hospital based wound care centers
- Status: in development, open for early access
- Updated: 2026-08-21

## What Neurobird Wound Care Center does

- 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
- Report healing rate and time to heal without a manual chart pull

## How it works

1. **Measure consistently** Length, width, depth, undermining and photo captured the same way each visit, so percentage area reduction is computed rather than estimated.
2. **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.
3. **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.

## From the source material

> A wound care center, or clinic, is a medical facility for treating wounds that do not heal.

Source: medlineplus.gov, https://medlineplus.gov/ency/patientinstructions/000739.htm

## Industry context

- **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. (source: Medicare.gov, hyperbaric oxygen therapy, https://www.medicare.gov/coverage/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. (source: Medicare.gov, hyperbaric oxygen therapy, https://www.medicare.gov/coverage/hyperbaric-oxygen-therapy)
- **38.4 million** People in the United States living with diabetes according to the CDC national diabetes statistics report, the population that supplies most chronic foot ulcer referrals. (source: CDC National Diabetes Statistics Report, https://www.cdc.gov/diabetes/data/statistics-report/index.html)
- **4 weeks** Percentage 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. (source: NIH National Library of Medicine, StatPearls, https://www.ncbi.nlm.nih.gov/books/NBK554220/)
- **1 process** Every 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. (source: CMS, coverage determination process, https://www.cms.gov/medicare/coverage/determination-process)

## Pricing

- Single center: $260 per center, per month
- Hospital program: $580 per center, per month
- Multi center network: $1,100 per center, per month

## Questions

### 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.

## Sources

- [Medicare, hyperbaric oxygen therapy coverage](https://www.medicare.gov/coverage/hyperbaric-oxygen-therapy)
- [CMS, national coverage determination process](https://www.cms.gov/medicare/coverage/determination-process)
- [CDC National Diabetes Statistics Report](https://www.cdc.gov/diabetes/data/statistics-report/index.html)
- [NIH National Library of Medicine, StatPearls](https://www.ncbi.nlm.nih.gov/books/NBK554220/)

## Contact

- office@neurobird.com
- https://neurobird.com/