Oh, Was That All You Needed?

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!