Reimbursement


ACell’s Reimbursement Support Center

ACell’s Reimbursement Support Center – supported by The Pinnacle Health Group –
is dedicated to providing answers to all of your reimbursement questions. Services available for all ACell products include:

Contact the Support Center


  • 800-826-2926 option 7
  • acell@thepinnaclehealthgroup.com

  • Monday – Friday: 8:30am – 6:00pm EST

    48-hour response time (closed major holidays)

    Benefit Verification

  • Basic patient benefits
  • Insurance coverage
  • Patient copay
  • Appropriate billing codes
  • Prior Authorization

  • Research prior authorization submission steps and required information
  • Submit the prior authorization request (optional)
  • Claim Appeals

  • Research information required to appeal a denied claim
  • Submit the appeal (optional)
  • General Reimbursement

  • Research coverage policy information for ACell products
  • Access ACell product reference tools
  • Review inadequate reimbursements
  • Reimbursement Resources

    Reimbursement can vary depending on the payer, contract terms, and site of service. To help physicians, coders, and hospital administrators answer common coding and reimbursement questions and better navigate the complex documentation requirements, ACell provides the guides and resources for educational purposes only.

    • Wound and Burn Reimbursement 2018

      Wound & Burn Reimbursement & Coding Guide

      The following information is provided by ACell, Inc. as a courtesy and a guide for
      reimbursement for Cytal® and MicroMatrix® wound management devices.

      Click Here to view


      Hernia Reimbursement 2018

      Hernia Reimbursement & Coding Guide

      The following information is provided by ACell, Inc. as a courtesy and a guide for
      reimbursement for Gentrix® Surgical Matrix devices.

      Click Here to view


      Xpansion Reimbursement 2018

      Xpansion® Reimbursement & Coding Guide

      The following information is provided by ACell, Inc. as a courtesy and a guide for
      reimbursement for Xpansion® devices.

      Click Here to view

    • CGS Administrators

      CGS Administrators

      Jurisdictions: KY | OH

      The following information is provided by ACell, Inc. as a courtesy and a guide
      for reimbursement for CGS Administrators.

      Click Here to view


      First Coast Service Options

      First Coast Service Options

      Jurisdictions: FL

      The following information is provided by ACell, Inc. as a courtesy and a guide
      for reimbursement for First Coast Service Options.

      Click Here to view


      National Government Services

      National Government Services

      Jurisdictions: CT | IL | NY | ME | MA | MN | NH | RI | VT | WI

      The following information is provided by ACell, Inc. as a courtesy and a guide
      for reimbursement for National Government Services.

      Click Here to view


      Noridian Healthcare Solutions

      Noridian Healthcare Solutions

      Jurisdictions: AK | AZ | CA | HI | ID | MT | ND | NV | OR | SD | UT | WA | WY |
      America Samoa | Guam | Northern Mariana Islands

      The following information is provided by ACell, Inc. as a courtesy and a guide
      for reimbursement for Noridian Healthcare Solutions.

      Click Here to view


      Novitas Solutions

      Novitas Solutions

      Jurisdictions: AR | CO | DC | DE | LA | MD | MS | NM | OK | PA | TX

      The following information is provided by ACell, Inc. as a courtesy and a guide
      for reimbursement for Novitas Solutions.

      Click Here to view


      Palmetto GBA

      Palmetto GBA

      Jurisdictions: AL | GA | NC | SC | TN | VA | WV

      The following information is provided by ACell, Inc. as a courtesy and a guide
      for reimbursement for Palmetto GBA.

      Click Here to view


      Wisconsin Physician Services Corporation

      Wisconsin Physician Services Corporation

      Jurisdictions: IA | IN | KS | MI | MO | NE

      The following information is provided by ACell, Inc. as a courtesy and a guide
      for reimbursement for Wisconsin Physician Services Corporation.

      Click Here to view

    • Wound and Burn Reimbursement 2016

      Reimbursement Support Center Flyer

      The ACell Reimbursement Support Center – supported by The Pinnacle Health Group – is available to assist with benefit verifications, prior authorizations, appeals, coding, bill and payment questions.

      Click Here to view


      Wound and Burn Reimbursement 2016

      ACell Reimbursement Support Center Patient Intake Form

      ACell, Inc. provides the following as a fillable PDF template for patient intake information. This can also be downloaded, printed, and filled in by hand.

      Click Here to view


      Wound and Burn Reimbursement 2016

      Summary Documentation Criteria

      ACell, Inc. provides the following as criteria that is needed for Summary Documentation.

      Click Here to view


      Wound and Burn Reimbursement 2016

      Sample Letter of Appeal

      The following form is provided by ACell, Inc. as a template for writing a letter of appeal.

      Click Here to download


      Wound and Burn Reimbursement 2016

      Sample Letter of Medical Necessity

      The following form is provided by ACell, Inc. as a template for writing a letter of medical necessity.

      Click Here to download


    Providers are responsible for verifying coverage with the patient’s insurance carrier, including the applicability of any non-coverage decision that may exist for any of ACell’s products. Since reimbursement laws regulations and payer policies change frequently,
    it is recommended that providers consult with their payers, coding specialists and/or legal counsel regarding coverage, coding and payment issues. ACell assumes no responsibility for the timeliness, accuracy and completeness of the coding information suggested to the Provider, Physician and Billing Staff.