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

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!...
What Most People Want for Christmas is to Lose Weight

What Most People Want for Christmas is to Lose Weight

by Caroline Fife, M.D. | Nov 22, 2023 | Fight the Good Fight, Miscellaneous Musings

It’s the holidays so most people can expect to watch the scales move up. A WebMD article about holiday weight gain suggests that the problem is not that people gain a lot of weight during the holiday season but that they gain a little every holiday season —...
Palmetto and Hyperbaric Oxygen Therapy – Educational Materials

Palmetto and Hyperbaric Oxygen Therapy – Educational Materials

by Caroline Fife, M.D. | Nov 21, 2023 | Fight the Good Fight, Medicare Audits

This is part of my series of articles about Useful Information on Medicare Audits. Palmetto is the MAC for: Region J: Alabama, Georgia, Tennessee (Region J) Region M: North Carolina, South Carolina, Virginia, West Virginia (excludes Part B for the counties of...
Palmetto Part B: Reasons for Denial of HBOT on TPE audit

Palmetto Part B: Reasons for Denial of HBOT on TPE audit

by Caroline Fife, M.D. | Nov 20, 2023 | Fight the Good Fight, Medicare Audits

This is part of my series of articles about Useful Information on Medicare Audits. Palmetto is the MAC for: Region J: Alabama, Georgia, Tennessee (Region J) Region M: North Carolina, South Carolina, Virginia, West Virginia (excludes Part B for the counties of...
Noridian: Here’s Their Hyperbaric Oxygen Checklist

Noridian TPE results

by Caroline Fife, M.D. | Nov 20, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy, Medicare Audits

I am posting a series of articles with information directly from the websites of the various MACs. Anyone can access this and I feel a little silly posting it, but several clinicians have told me about audits they are undergoing and they had not paid attention either...
Awaiting More Info from CMS on HBOT Facility Fees

Awaiting More Info from CMS on HBOT Facility Fees

by Caroline Fife, M.D. | Nov 14, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy

The Alliance of Wound Care Stakeholders and the Undersea & Hyperbaric Medical Society (UHMS) are seeking more information on the posted rate for 2024 hyperbaric facility fees. Both organizations have urged practitioners to wait to submit comments to CMS until they...
Without Warning – the Outpatient Prospective Payment Final Rule Cuts HBOT Facility Fees by 40%

Without Warning – the Outpatient Prospective Payment Final Rule Cuts HBOT Facility Fees by 40%

by Caroline Fife, M.D. | Nov 9, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy

The Outpatient Prospective Payment System (OPPS) final rule was published a few days ago and buried in a table was the new rate for G0277, the “facility fee” for hyperbaric oxygen therapy (HBOT). The rate for 2024 is $73.64 for a 30-minute segment from the current...
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