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,...
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...
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...
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...
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...
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...
by Caroline Fife, M.D. | Nov 9, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy, Medicare Audits
This is part of my series of articles about Useful Information on Medicare Audits. I am posting a series of blogs 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...
by Caroline Fife, M.D. | Nov 7, 2023 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy, Medicare Audits
I have been posting information from the MAC websites about audits and required documentation, particularly for HBOT. The Palmetto MAC website has detailed information about certain specific HBOT indications if you sufficiently medicated to manage the intense...
by Caroline Fife, M.D. | Nov 3, 2023 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy, Medicare Audits
I have been posting information from the MAC websites about audits and required documentation, particularly for HBOT. The Palmetto MAC website has a lot of detailed information about certain specific HBOT indications. The website is “cute” – you hover over the...
by Caroline Fife, M.D. | Apr 14, 2023 | Dr. Helen Gelly, Fight the Good Fight, Healthcare Payment Policy, Hyperbaric Oxygen Therapy
Recently, a clinician inquired about Medicare documentation requirements for hyperbaric oxygen therapy (HBOT). In particular, they wanted to know once a patient has started HBOT, how often the follow up visits with the physician should be performed, and what should be...