This message was left on the voice mail of our Wound Clinic Program Director. I’ve cut out any patient identifiers and the name of the payer. She’s providing a list of the documentation needed for her to authorize hyperbaric oxygen therapy:
[regarding patient redacted] . . .
I need to have clinical records documenting chronic refractory osteomyelitis that is unresponsive to conventional medial and surgical management –
- Including a 6-week course of parenteral antibiotics and at least one surgical debridement, unless it is contraindicated…
- With photographs with a ruler, PLUS…
- X-ray bone cultures documenting diagnosis, AND ALSO…
- Documentation of non-healing, infected deep ulceration that is a Wagner Grade 3 or more of the lower extremity WITH the photographs with the ruler documentation…
- In diabetic adults unresponsive to one month of meticulous wound care, [AND]…
- Assessment of the vascular status, AND…
- Correction of any vascular problems in the affected limb.
If you could please fax that to . . . .”
Don’t take my word for it – listen for yourself!
Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog at CarolineFifeMD.com and my Youtube channel at https://www.youtube.com/c/carolinefifemd/videos
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