Wound Care Patient Access

A 6-Part Educational Video Series on Skin Substitute Coverage and Market Access

Join Jacob Durant and Danielle Bargull, Senior Manager at JDL Access, for a 6-part video series designed to educate providers, manufacturers, and healthcare professionals on Medicare and commercial insurance coverage for skin substitutes.

These educational episodes cover everything from reimbursement and claims submission to commercial policy variation and appeal strategies.

The Skin Substitute Market Access Series!

Please join us for our series, hosted by Jacob Durant and Danielle Bargull, Senior Manager at JDL Access. This educational video series is designed to break down the latest updates in Medicare and commercial insurance coverage for skin substitutes.

Episode 1: Introduction to Skin Substitute Market Access

✅ Overview of Medicare coverage changes and delayed LCD implementation
✅ Why reimbursement support is essential for market access
✅ Introduction to JDL Access and its role in patient support programs

This series will explore critical topics in reimbursement, denials, and policy trends affecting skin substitutes. Whether you’re a provider, manufacturer, or healthcare professional, these insights will help you navigate the evolving coverage landscape.

Have questions? Contact us at info@jdlaccess.com or call (651) 364-6673.

⬇️ Watch Episode 1 here! ⬇️

Episode 2: How to Submit Skin Substitute Claims

Jacob Durant and Danielle Bargull dive into how to handle Medicare claims submissions—especially with the uncertainty around LCDs.

✅ The difference between LCD-driven vs. medical necessity claims
✅ Documentation tips that reduce risk of denials
✅ Why third-party support teams like JDL Access can streamline appeals

Whether or not the LCD changes roll out in April 2025, submission strategy matters now.

⬇️ Watch Episode 2 here! ⬇️

Episode 3: Commercial Insurers and Skin Substitutes

This week, Jacob Durant and Danielle Bargull explore how commercial insurance—including Medicare Advantage plans—affects skin substitute coverage.

✅ Differences across payers like Anthem, UnitedHealthcare, and others
✅ How JDL helps companies monitor policies, timelines, and evidence updates
✅ How patient case support can inform broader market strategy

When plans vary this much, it pays to have experts tracking your progress.

Let’s talk strategy. Reach out at info@jdlaccess.com or (651) 364-6673.

⬇️ Watch Episode 3 here! ⬇️

Episode 4: Denials & Appeals—What Now?

Denied? Now what? In Episode 4, Jacob Durant and Danielle Bargull walk you through how to respond to Medicare and commercial denials.

✅ Medicare appeal levels: Re-determination → IRE → ALJ
✅ Timelines that matter (and what’s realistic)
✅ Commercial insurer strategies: Prior Auths, IROs, and policy pressure

Each appeal is a chance to build a stronger access foundation—one block at a time.

We’re here to help: info@jdlaccess.com | (651) 364-6673

⬇️ Watch Episode 4 here! ⬇️

Episode 5: Navigating LCD Changes

In the final episode, Jacob Durant and Danielle Bargull explore the upcoming nationwide Medicare LCD

✅ New documentation requirements (KX modifiers, run-in periods)

✅ The impact of the limited “approved products” list

✅ How JDL can still support medical necessity cases and appeals for products not on the list

The landscape is changing—but it’s not a dead end.

Need support navigating the new LCDs? Reach out at info@jdlaccess.com or (651) 364-6673.

⬇️ Watch Episode 5 here! ⬇️

Episode 6: Bridging the Gap: Finding Common Ground on Skin Substitutes in Wound Care

In the final installment of our 6-part Skin Substitute Market Access Series, Kim Norton and Danielle Bargull sit down with Dr. Chuck Stemple—former Medical Director at Humana—to discuss the future of skin substitute coverage from the payer’s perspective.

✅ Why MACs are pushing for stricter LCDs and how providers can respond
✅ How real-world evidence (RWE) is influencing policy and coverage decisions
✅ Opportunities for digital wound monitoring and AI to improve documentation
✅ A call for national standardization—and how collaboration can drive change

“You give a wound to 10 different physicians, it’ll get treated 10 different ways.” – Dr. Chuck Stemple
“Where can we meet in the middle? That’s where standardization comes in.” – Danielle Bargull

This episode brings the whole series full circle—focusing not just on individual case support, but on shaping a more unified, evidence-based approach to wound care coverage.

📩 Want to be part of the solution? Let’s build a stronger, smarter future together.

⬇️ Watch Episode 6 here! ⬇️