Hyperbaric Oxygen Therapy (HBOT)
Urgent: We Need Your Help to Stop a 41% Cut in Medicare Reimbursement for Hyperbaric Oxygen Therapy (HBOT) in 2024
Please follow the links within to add your voice to this collaborative effort! We are all in this together.
We need to be patient, we will know more by next week, so please hold your powder dry and we will keep you posted.
Practitioners have been urged to wait to submit comments to CMS until the situation is evaluated. I will keep you posted on the findings.
What we need is for people to submit a comment, and to spread the word that hyperbaric oxygen therapy is in a crisis.
I laboriously pasted screen shots of the information on failing flaps. There are some fascinating things.
One colleague in this jurisdiction failed an audit for not providing protein supplementation to a patient on protein restriction.
Guest Post by Dr. Helen Gelly: Medicare Documentation Requirements for Hyperbaric Oxygen Therapy (HBOT) – What Documentation is Required for the HBOT Followup Visit?
Once a patient has started HBOT, how often the follow up visits with the physician should be performed, and what should be documented in that visit?
Improvement in Erectile Dysfunction in Patients Undergoing Hyperbaric Oxygen Treatment: A Prospective, Double-Blind, Double-Controlled Study
I should hasten to add that insurance will not cover the use of HBOT for ED, but it is not unethical to use HBOT “off-label” on a case by case basis.
Inflammation is thought to be a main cause of the long-COVID issues, and HBOT has been well documented in other studies as being anti-inflammatory.
The American Medical Association (AMA) has just adopted a resolution opposing the unsafe use of so-called “mild hyperbaric oxygen therapy” in “mild hyperbaric facilities.” You can find more...
There will be a lot of whining about how vulnerable patients will get hurt by CMS proposed policy on CTPs – but no discussion about limiting the wasted use that caused CMS to act.
Hyperbaric Oxygen Therapy Improves Neurocognitive Functions and Symptoms of Post-COVID Condition – the Results of a Randomized Controlled Trial
This study, along with others published by the Israelis, likely represents the future of HBOT.
U.S. Senator Kevin Cramer (R-ND), a member of the Senate Veterans’ Affairs Committee, joined Senator Tommy Tuberville (R-AL) in introducing the HBOT Access Act of 2021, a bill to make Hyperbaric Oxygen Therapy (HBOT) an available resource for veterans suffering from Traumatic Brain Injury (TBI) or Post-Traumatic Stress Disorder (PTSD) who have exhausted other evidence-based treatment options.
Check out my blog on the Ethics of Off-Label Use of HBOT on the Hyperbaric Aware campaign site!
For every deteriorating patient who declines the option of HBOT, there are two willing to try it.
Here’s another installment from the intrepid critical care/hyperbaric physician who started “COVID Diaries.” Now she is telling the evolving story of treating COVID patients with HBOT.
We are down to steroids, aspirin and anticoagulation. We might as well be practicing critical care in the 1950’s.
What we need with COVID is a way to deliver enough oxygen to avoid intubation. It’s possible we found that with hyperbaric oxygen therapy (HBOT).
Critically Ill COVID-19 Patients Being Treated with Hyperbaric Oxygen Therapy at the Southern Philippines Medical Center
The Southern Philippines Medical Center (SPMC) has started using hyperbaric oxygen therapy (HBOT) for COVID-19 patients in critical condition. Currently it is the only hospital in the Philippines using HBOT to avoid intubation in patients with severe COVID-19 pneumonia. Check out the news article here.
Check out this news article about HBOT being used to avoid intubation in severely ill COVID-19 patients at Grenwich Hospital in Connecticut.
The Sagol Center for Hyperbaric Medicine and Research, Shamir (Assaf-Harofeh) Medical Center in Israel has just published a new study indicating that hyperbaric oxygen therapy (HBOT) has “senolytic” (anti-aging) effects. The study is reported ahead of print in the journal Aging.
It passed! Thank you to all of you who engaged on this issue. Let’s hope this is a small step forward for the field of hyperbaric medicine and a big step forward for our veterans. --Caroline HOUSE...
Time is running out on these bills and veterans deserve HBOT today, not months or years from now.
Novitas and First Coast have retired their Local Coverage Determinations (LCDs) for Hyperbaric Oxygen Therapy (HBOT).
If you missed the live stream Webinar on the use of HBOT for COVID-19, you can watch the recorded session and receive CME credit. See the information from the UHMS.
The Undersea and Hyperbaric Medical Society (UHMS) and the American College of Hyperbaric Medicine (ACHM) have endorsed an updated position statement on the use of HBO2 for COVID-19 pneumonia.
The small size of the study means that the results have to be interpreted with caution, but it shows that HBOT is safe for COVID-19 patients and suggests that a large, prospective trial is needed to assess its possible benefit.
There is no Government official with the power to change paragraph indentations…
There is nothing magic about a hyperbaric chamber for COVID-19 related hypoxia. It is simply a very efficient method of oxygen delivery.
Not every patient is a candidate for the NIPPV helmet, but it can have a positive effect on the outcome of a patient.
If any of you can explain why the FDA would take this stance, I’d like the insight.
This new fellowship program has come to fruition thanks to some visionary Filipino physician leaders.
As information about HBOT in COVID-19 pneumonia becomes available, it may demonstrate that the nominal risks of HBOT, even for relatively sick patients, are less than the risk of intubation with COVID-19 pneumonia.
Here are some useful materials from the Undersea and Hyperbaric Medical Society (UHMS) about HBOT for COVID-19.
If we can overcome barriers so that patients are not exposed to the risk of HARM in order to give HBOT a try, then in places where it can be performed safely, it may be a treatment option – with a LOT of caveats.
Check out the new “reason codes” for denial of HBOT.
Are YOU “too busy” to properly document new patients in your EHR?
Late Night Thoughts on HBOT Prior Authorization – About the Centers for Medicare & Medicaid Services (CMS) Daily Digest Bulletin
We don’t dispute that CMS needs a way to handle overuse and improper use. However, it doesn’t seem like this is the right way.
Check out this CMS summary regarding the HBOT prior authorization program! Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog at CarolineFifeMD.com and my Youtube channel at https://www.youtube.com/c/carolinefifemd/videos carolinefife.wpengine.com
We need all the data we can get in the fields of wound care and hyperbaric medicine.
Guest blog post by Dick Clarke of National Baromedical Services On August 1 of this year, a bill entitled the “North Carolina Veterans Traumatic Brain Injury (TBI) and Posttraumatic Stress Disorder...
He flexed his arms across his chest, eyes deviated to the right, and had a generalized seizure.” Other than that, what can go wrong with hyperbaric oxygen therapy?
Have you ever seen an oxygen toxicity seizure?
Guest Post by Dr. Helen Gelly: Noridian starts post payment Medical review of Hyperbaric Oxygen Therapy- is HBOT what the doctor ordered?
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....
Cue the fireworks.
Y’all we are going to need some mops for this mess.
74% of the time, when HBOT was billed, the doctor was not present.
Extrapolated to the entire J5 region, the OIG estimated that WPS J5 providers were overpaid by $42.4 million during the audit period 2013-2014.
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...
HBOT utilization is down 50% across the USA. Here are 10 reasons why… and why it’s going to decrease further.
Is the Hyperbaric Oxygen Therapy Registry (HBOTR) a lifeboat for the field of hyperbaric medicine?
The math for hyperbaric oxygen can be confusing. Let’s break it down once and for all.
I've attached a link to a Kaiser Health News article that came out today (June 28) about Hyperbaric Oxygen Therapy (HBOT) that is less than flattering, and another in the Washington Post printed...
Attention Hyperbaric Medicine Colleagues, especially those in New Jersey, Michigan and Illinois! Please read the important note below from UHMS Executive Director, John Peters. Dear Hyperbaric...
ALERT! “Targeted” Pre-payment review of Hyperbaric Oxygen Therapy to occur in Iowa, Kansas, Missouri, and Nebraska The Medicare Administrative Carrier “WPS” has announced a Targeted Medical Review...
The Hyperbaric oxygen therapy prior authorization project has been in effect a little more than a year and CMS is in the process of reviewing its impact to prepare an interim report. As the Medicare...
An important paper has been released by the U.S. Hyperbaric Oxygen Therapy Registry (HBOTR) detailing its work in Medicare reimbursement issues. “Rapid analysis of hyperbaric oxygen therapy registry...