Wound Care Virtual Assistant
David Apolinario of Wound Care on Wheels handed his entire billing operation to Rhea — his dedicated 3F Solutions HVA. Graft reports, debridement coding, Ultramist prior auths, Omeza documentation — all managed. No contract. No setup fee. Just cleaner claims and faster reimbursements.
What Your Wound Care HVA Handles
Grafts, Ultramist, Omeza, debridement — each with its own prior auth, documentation package, and payer rules. Your HVA is pre-trained to manage every piece, so nothing gets denied for missing paperwork.
Real Client. Real Results.
David Apolinario didn't launch Wound Care on Wheels to spend his days building graft utilization reports and fighting insurance companies for prior authorizations.
But mobile wound care billing isn't like any other specialty. Every graft application requires a precise documentation package. Every Ultramist session needs the right supporting records. Omeza? That's a prior authorization battle before you even treat the first patient.
David needed someone who understood the complexity of wound care billing — and could own it without him having to explain every code, every form, every payer requirement.
When he partnered with 3F Solutions, we matched him with Rhea — a dedicated Filipino Healthcare VA who took over his entire billing operation. Graft reports. Debridement claim submissions. Ultramist and Omeza prior auths. Monthly billing summaries. Insurance follow-up across every payer.
Today, David focuses on patients and growing his practice. Rhea handles everything else.
"Wound care billing is a full-time job by itself. The graft documentation, the prior auths, the reports — Rhea took all of it. I focus on patients. She handles the billing."
— David Apolinario, NP · Founder, Wound Care on Wheels · NevadaDavid Apolinario, NP · Wound Care on Wheels, Nevada
David Apolinario, NP · Wound Care on Wheels, Nevada
The Math
The real cost of an in-office billing person goes far beyond salary. Here's what your wound care practice is actually spending — versus what 3F Solutions costs.
| In-Office Billing Staff | 3FS Filipino Healthcare VA | |
|---|---|---|
| Annual salary | $52,000 – $64,000 | $14,400 – $19,200 |
| Benefits & payroll taxes | +$12,000 – $15,000 | $0 |
| Recruitment & training | +$3,000 – $8,000 | $0 |
| Wound care billing experience | Requires training | ✅ Pre-trained (grafts, debridement, biologics) |
| HIPAA trained | Your responsibility | ✅ Always |
| Long-term contract | Employment contract | ❌ No contract. Cancel anytime. |
| Estimated annual total | $67,000 – $87,000 | $14,400 – $19,200 → Save $49,600+ |
Frequently Asked Questions
Yes. Our HVAs are trained on wound care-specific billing including skin substitute graft codes (Q4100–Q4232 range), debridement codes (97597, 97598, 97602), Ultramist (97610), and advanced biologic product billing. They understand payer-specific documentation requirements for each product category.
Absolutely. Data management and reporting is one of the core strengths our wound care HVAs bring. They build and maintain graft utilization reports, wound measurement tracking, biologic usage documentation packages, and monthly billing summaries — the exact reports insurance auditors ask for.
Yes. Prior authorizations for advanced wound products — including biologics, Omeza, and Ultramist — are handled end-to-end: initial submission, follow-up calls, supporting documentation assembly, and appeal letters when denied. Your HVA tracks each auth status so nothing falls through the cracks.
Our HVAs are experienced supporting mobile and home health wound care practices. They handle OASIS documentation support, home health referral coordination, payer eligibility checks across multiple patient locations, and the additional documentation complexity that comes with treating patients outside a clinic setting.
Yes. All 3F Solutions HVAs sign HIPAA Business Associate Agreements (BAA) before work begins. They follow strict PHI access protocols and never store patient data independently. We take HIPAA compliance seriously — your patients' data is protected.
Most practices are matched and working with their dedicated HVA within 5 business days of their discovery call. No job postings, no interviews, no onboarding from scratch — we pre-match you based on your practice's specific billing needs.
Your HVA starts on your highest-priority billing tasks immediately — whether that's a backlog of graft claims, pending prior authorizations, or building your reporting system. We sign the HIPAA BAA before work begins. No credit card, no commitment. You see the difference before you decide anything.
Ready to Get Started?
Your first 20 hours are on us. No credit card. No contract. No risk.
Just a dedicated Filipino Healthcare VA who knows wound care billing — ready to take over from day one.