by Caroline Fife, M.D. | Sep 25, 2019 | Fight the Good Fight, Hyperbaric Oxygen Therapy
Have you ever seen an oxygen toxicity seizure? You can see one on this You Tube, produced by the U.S. Navy many years ago. Here are the verbatim comments of hyperbaric technicians (from the Hyperbaric Oxygen Therapy Registry) who observed oxygen seizures during...
by Caroline Fife, M.D. | Aug 15, 2019 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy
Noridian has started sending out letters to notify hospitals of post-payment review of outpatient HBOT charged records from 2018 (G0277). See below for the pitfalls of writing the usual HBOT note. If you do not order the HBOT for that day, you will likely not get...
by Caroline Fife, M.D. | Jan 9, 2019 | Cassandra Chronicles: Regulatory and Coverage Policy, Do the Right Thing: Thoughts on Quality, Hyperbaric Oxygen Therapy
I heard a few firecrackers on New Year’s eve, but the big fireworks in our industry go off on January 7th, 2019. That’s because the Centers for Medicare & Medicaid Services (CMS) has established a new physician specialty code for Undersea and Hyperbaric Medicine...
by Caroline Fife, M.D. | Jan 7, 2019 | Cassandra Chronicles: Regulatory and Coverage Policy, Hyperbaric Oxygen Therapy
Most hyperbaric oxygen therapy practitioners know about the first OIG (Office of Inspector General) audit of HBOT which happened in 1998 (published in 2000). I’ve blogged about this before because I was the (relatively young) President of the Undersea and Hyperbaric...
by Caroline Fife, M.D. | Nov 8, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Hyperbaric Oxygen Therapy
I received an email from a physician who expressed how difficult it was to stay updated on the requirements for HBOT documentation. Dr. Helen Gelly has written about this extensively and I have posted blogs about this before. I reviewed the HBOT documentation...
by Caroline Fife, M.D. | Mar 28, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Hyperbaric Oxygen Therapy
In February 2018, the Office of Inspector General (OIG) released a report entitled “WISCONSIN PHYSICIANS SERVICE PAID PROVIDERS FOR HYPERBARIC OXYGEN THERAPY SERVICES THAT DID NOT COMPLY WITH MEDICARE REQUIREMENTS.” The OIG evaluated the region under the...
by Caroline Fife, M.D. | Mar 14, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Hyperbaric Oxygen Therapy
It’s hard to believe it’s been 20 years since I was president of the Undersea and Hyperbaric Medical Society (UHMS). I thought my biggest challenge would be trying develop an approach to off-label use of HBOT. As it turned out, only weeks after I took office,...
by Caroline Fife, M.D. | Mar 1, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Hyperbaric Oxygen Therapy, Quality Payment Program
Yesterday a friend who practices hyperbaric medicine called me about a reimbursement question because she had just read the Novitas LCD on the subject. I told her that the Novitas LCD was the least of our problems. HBOT utilization is down 50% across the USA. Listed...
by Caroline Fife, M.D. | Feb 19, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Hyperbaric Oxygen Therapy, Quality Payment Program
Undersea and Hyperbaric Medicine has published an update on the Hyperbaric Oxygen Therapy Registry – “Driving Quality and Demonstrating Compliance.” The HBOTR is one of the specialty registries sponsored by the US Wound Registry (USWR). The HBOTR could be used...
by Caroline Fife, M.D. | Feb 6, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Hyperbaric Oxygen Therapy
The math for hyperbaric oxygen can be confusing. I wrote an article for Today’s Wound Clinic about the ethics of off-label hyperbaric oxygen therapy. I said I’d provide the math here. The earth’s atmosphere weighs down on us with a specific amount of pressure. If you...