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An Update on the Hyperbaric Oxygen Fee Reduction

An Update on the Hyperbaric Oxygen Fee Reduction

by Caroline Fife, M.D. | Dec 15, 2023 | Fight the Good Fight, Healthcare Payment Policy, Hyperbaric Oxygen Therapy

Guest Post by John Peters, Undersea & Hyperbaric Medical Society (UHMS) Executive Director Caroline, Thank you for allowing me the opportunity to provide an update on the 2024 Final Rule and rate for APC 5061 / Code G0277 (hyperbaric oxygen per 30-minute segment)....
Quality of Life in Patients with Chronic Wounds… and Yes, Our Patients are Very Sick

Quality of Life in Patients with Chronic Wounds… and Yes, Our Patients are Very Sick

by Caroline Fife, M.D. | Dec 13, 2023 | Fight the Good Fight, Obesity & Wound Care, US Wound Registry

We just published an article about the impact of underlying conditions on Quality-of-Life (QOL) measurement among patients with chronic wounds which sheds new light on the use of QOL assessment as well as the underlying medical complexity of these patients. On the...
Role Reversal – When the Doctor is the Patient

Role Reversal – When the Doctor is the Patient

by Caroline Fife, M.D. | Dec 11, 2023 | Fight the Good Fight

The day after Thanksgiving, I underwent an emergency laparotomy for an internal herniation of the small bowel. I haven’t made a secret of the fact that I had weight loss surgery about 18 years ago. A “Peterson’s internal hernia” is a rare but known complication of...
CMS Reasons for Denial of Hyperbaric Oxygen Therapy – Check Out What’s Required in Your Medical Record

CMS Reasons for Denial of Hyperbaric Oxygen Therapy – Check Out What’s Required in Your Medical Record

by Caroline Fife, M.D. | Dec 8, 2023 | Fight the Good Fight, Medicare Audits

This is part of my series of articles about Useful Information on Medicare Audits. Here are the “reasons for denial” codes for hyperbaric oxygen therapy posted on the Palmetto website. Although they are posted on the Palmetto website, these come from CMS and thus are...
Thoughts on How to Fix the Cellular Tissue Product (CTP) / Skin Substitute Crisis

Thoughts on How to Fix the Cellular Tissue Product (CTP) / Skin Substitute Crisis

by Caroline Fife, M.D. | Dec 7, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes

(Including How to Make it More Equitable for Practitioners & Patients) I got this thoughtful email from Dr. Timothy Johnson with a list of practical suggestions to help fix the broken system around CTPs/skin subs. He has given me permission to post his comments....
Noridian: Here’s Their Hyperbaric Oxygen Checklist

Noridian: Here’s Their Hyperbaric Oxygen Checklist

by Caroline Fife, M.D. | Dec 5, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy, Medicare Audits

This is part of my series of articles about Useful Information on Medicare Audits. Noridian is the MAC for Medicare A/B of: Region E: California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands Region F: Alaska, Arizona, Idaho, Montana, North Dakota,...
‍‍Urgent: We Need Your Help to Stop a 41% Cut in Medicare Reimbursement for Hyperbaric Oxygen Therapy (HBOT) in 2024

‍‍Urgent: We Need Your Help to Stop a 41% Cut in Medicare Reimbursement for Hyperbaric Oxygen Therapy (HBOT) in 2024

by Caroline Fife, M.D. | Dec 1, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy

The Undersea and Hyperbaric Medical Society (UHMS) working in collaboration with the Alliance of Wound Care Stakeholders and many other organizations is asking for your help to stop the proposed drastic cut in facility fees for hyperbaric oxygen therapy. Please follow...
An Update on the Hyperbaric Oxygen Fee Reduction

Medical Student Survey: Risks and Prevention of Barotrauma in Hyperbaric Facilities

by Caroline Fife, M.D. | Nov 30, 2023 | Fight the Good Fight

Check out this Medical Student Survey: Risks and Prevention of Barotrauma in Hyperbaric Facilities by the Undersea & Hyperbaric Medical Society. Please submit your response latest by February 1, 2024. Thank you so much for your contributions and volunteerism!...
‘Tis the Season for (Bad) Surprises with Hyperbaric Oxygen Therapy – Guest Blog by Helen Gelly, MD

‘Tis the Season for (Bad) Surprises with Hyperbaric Oxygen Therapy – Guest Blog by Helen Gelly, MD

by Caroline Fife, M.D. | Nov 29, 2023 | Dr. Helen Gelly, Hyperbaric Oxygen Therapy

Tis the season for surprises, but not all of them are joyous, and some are downright disasters. Unfortunately, the surprise CMS dropped in November cannot be passed on at your next white elephant holiday party. There have been a lot of questions and angst surrounding...
Palmetto Results for Provider Specific Probe: July Through September 2022

Palmetto Results for Provider Specific Probe: July Through September 2022

by Caroline Fife, M.D. | Nov 27, 2023 | Featured, Medicare Audits

I am posting a series of articles with information directly from the websites of the various MACs. Anyone can access this information so I feel a little silly posting it, but several clinicians have told me about audits they are undergoing and they had not paid...
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Wound Care Reimbursements

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  • Skin Substitute / Cellular Tissue Product (CTP) Pricing and a Path Forward November 5, 2025
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