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CMS Starts a Prior Authorization on Vein Ablation Performed in Ambulatory Surgical Centers

CMS Starts a Prior Authorization on Vein Ablation Performed in Ambulatory Surgical Centers

by Caroline Fife, M.D. | Apr 15, 2024 | Fight the Good Fight, Hyperbaric Oxygen Therapy

The Centers for Medicare & Medicaid Services (CMS) recently announced plans to test prior authorization (PA) for 40 services related to blepharoplasty, botulinum toxin injections, rhinoplasty, panniculectomy, and vein ablation performed in Ambulatory Surgical...
CMS Data Demonstrates a Cost and Clinical Advantage for Hyperbaric Oxygen for Radiation – Read it Ahead of Print in UHM!

CMS Data Demonstrates a Cost and Clinical Advantage for Hyperbaric Oxygen for Radiation – Read it Ahead of Print in UHM!

by Caroline Fife, M.D. | Apr 12, 2024 | Fight the Good Fight, Hyperbaric Oxygen Therapy

As anyone knows who has treated a patient with late effects of radiation to the bladder, the impact of HBO2 can be dramatic in terms of improving life-altering symptoms like radiation cystitis which causes bleeding and pain with urination. Some patients can bleed so...
Trends in Physician Supervision of HBOT – Paper Available Ahead of Print (and Why it Matters)

Trends in Physician Supervision of HBOT – Paper Available Ahead of Print (and Why it Matters)

by Caroline Fife, M.D. | Jan 12, 2024 | Dr. Helen Gelly, Fight the Good Fight, Hyperbaric Oxygen Therapy

Guest Post by Dr. Helen Gelly A new paper has been published open source in Undersea and Hyperbaric Medicine (UHM) about physician supervision of hyperbaric oxygen therapy (HBOT). You can access the paper ahead of print here: Trends in Physician Supervision of...
Just in Time for Christmas! The 2024 CMS HOPD G0277 Error Rate Has Been Corrected!!! Guest Post from John Peters

Just in Time for Christmas! The 2024 CMS HOPD G0277 Error Rate Has Been Corrected!!! Guest Post from John Peters

by Caroline Fife, M.D. | Dec 22, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy

Here’s some welcome news hot off the press from John Peters, the Executive Director of the UHMS! –Caroline Dear Caroline, Thank you for inviting me again to contribute an update on the 2024 HOPD G0277 final error. Yesterday afternoon, we received notification...
CMS Starts a Prior Authorization on Vein Ablation Performed in Ambulatory Surgical Centers

CMS Posts Public Comments Including Those Submitted Regarding the Proposed HBOT Payment Reduction

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

Here’s a link to the public comments that have been posted on the final rule. (I’ve posted this link searching specifically for those on hyperbaric oxygen therapy.) This link reflects a search for comments related to the Final Rule. Well done everyone who took the...
Trends in Physician Supervision of HBOT – Paper Available Ahead of Print (and Why it Matters)

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)....
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,...
Just in Time for Christmas! The 2024 CMS HOPD G0277 Error Rate Has Been Corrected!!! Guest Post from John Peters

‍‍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...
‘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...
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...
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