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01 / Smarter Support. Better Care.

Your documentation isnow your revenue.We make sure it holds up.

Specialty-trained scribing, coding, and chart review for wound care, vascular, podiatry, dermatology, and primary care practices. HIPAA-secured, BAA provided, live in 14 days.

Book a 15-minute practice reviewSee how it works
  • HIPAA compliant
  • BAA provided
  • MFA + access controls
  • Signed NDAs
  • US healthcare trained
SmartMed Solutions signage on the operations floor reception wall

Platforms we work in

  • PCC
  • ThoroughCare
  • Waystar
  • Net Health
  • Zoho
  • eClinicalWorks

The 2026 problem

per sq cm · flat national rate · CY2026 PFS

Skin substitutes now reimburse at a flat rate regardless of product. Margin no longer comes from what you use — it comes from clean claims.

growth in CTP spending · 2019 to 2024

Wound care is an active enforcement priority. TPE letters and additional documentation requests are landing now.

one settlement · plus a 15-year program exclusion

Incomplete medical-necessity documentation is the leading denial trigger, and exposure extrapolates backward across years of claims.

We build the chart that survives the review.

Services

One trained team owns the chart end to end — from the encounter note to a clean claim.

Specialties

Five specialties, trained separately. Each one fails an audit in its own way.

  • 01

    Wound Care

    Our deepest bench, and the specialty under the most pressure in 2026.

    Where the chart fails

    • Standard-of-care trial not documented before the first application
    • Wound measurements and graft units that do not reconcile with the procedure note
    • Repeat applications without LCD-supported justification
    • HCPCS selection that does not match the product's classification

  • 02

    Vascular

    Where the chart fails

    • Intervention justified by symptoms rather than documented failure of conservative therapy
    • Duplex findings summarized instead of recorded with the values that support the code
    • Bilateral and staged procedures billed without laterality and timing in the note

  • 03

    Podiatry

    Where the chart fails

    • Routine foot care billed without the systemic condition and qualifying findings recorded
    • At-risk status asserted without the class findings that establish it
    • Debridement units that outrun what the note actually describes

  • 04

    Dermatology

    Where the chart fails

    • Lesion sizes captured after excision rather than before
    • Destruction versus excision chosen by habit rather than by what the note supports
    • Biopsy technique left unspecified, leaving the code unsupported

  • 05

    Primary Care

    Where the chart fails

    • E/M level driven by template volume rather than documented decision-making
    • Chronic conditions carried forward without an assessment or plan in the encounter
    • Time-based billing without the time statement the code requires

Scroll for the rest →

How it works

  1. One call

    Understand Your Needs

    One call. We learn your role, your software, your KPIs, and what success looks like. No forms, no guesswork — just a real conversation about what you actually need.

  2. 72 hours

    Team match

    Specialty-trained staff matched to your workflow, your payers, and your EMR.

  3. One week

    Shadow and calibrate

    Running against your templates and provider preferences before anything goes live.

  4. Ongoing

    Live with a QA layer

    Accuracy sampling on a rolling basis, reported to you monthly.

Days to live

Compliance

The paperwork that has to exist before any PHI moves.

  • HIPAA policies
  • Privacy policy
  • Security policy
  • Employee HIPAA training records
  • Confidentiality / NDA
  • Access-control policy
  • Multi-factor authentication
  • Incident response plan
  • Risk assessment
  • Device security requirements
  • Data retention policy
  • BAA template
  • Vendor management
  • Access-termination procedure

Most virtual assistant companies cannot sign a BAA. We provide one before any PHI moves.

One-page Security Overview

The full control list, where your data sits, and who can reach it. Sent as a PDF.

We use this address to send the overview and to follow up once. Nothing else.

The team

Coders, scribes and reviewers who work one specialty rather than all of them.

  • Specialists on the floor

  • Specialties, trained separately

  • Median US healthcare experience

  • The SmartMed Solutions team on the operations floor
    The team
  • Specialists on headset at the operations floor
    Support floor
  • SmartMed Solutions branding on the operations floor
    Operations floor

Track record

What the work has added up to.

  • Charts documented and coded

  • Charts closed same day

  • Reduction in documentation denials

  • Practices supported

Placeholder figures. Replace with measured results before launch — a small true number reads better than a large invented one.

Reserved for one named testimonial from a practice owner, with credentials and state.

Name, credential — specialty, state

Questions

  • AI can draft a note, but it cannot verify that the standard-of-care trial was documented, that the code matches the product's classification, that billed units match the procedure note, or that a repeat application is justified under the LCD. That's the part an auditor actually reads.

Fifteen minutes on your denial patterns.

We look at what your charts are missing before either of us talks about scope or price. Bring a recent denial if you have one.

+1 (929) 428-8117

Booking

Calendar embed mounts here.

Email us to book