ARCLIGHT

White Paper / July 2026

Do You Need a Lawyer for a Skin Substitute Audit Appeal?

An estimated cost comparison for wound care providers facing $500,000 to $2 million Medicare audits

Overview

Research and evidence for a more accountable system.

One day, the clinic is treating chronic wounds, tracking measurements, managing comorbidities, ordering products, documenting conservative care, and trying to keep fragile patients out of the hospital. The next day, a government contractor is asking for records, questioning medical necessity, challenging product use, and potentially placing hundreds of thousands—or even millions—of dollars at risk.

This paper explains which parts of a skin substitute audit appeal turn on wound-care records, Medicare policy, clinical evidence, patient timelines, product documentation, and hearing preparation. It compares the estimated cost of a full legal-team approach with a specialized Arclight-led model and identifies the circumstances in which targeted healthcare counsel may still be valuable.

Related Arclight work

Put the insight into practice.

Talk With Arclight