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Hyperbaric Oxygen Therapy

From the Editor
Hyperbaric Medicine’s New Specialty Coding
01/09/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
You may have heard a few firecrackers on New Year’s Eve, but the biggest fireworks in our industry went off Jan. 7. That’s because the Centers for Medicare & Medicaid Services (CMS) has established a new physician specialty code for Undersea...
You may have heard a few firecrackers on New Year’s Eve, but the biggest fireworks in our industry went off Jan. 7. That’s because the Centers for Medicare & Medicaid Services (CMS) has established a new physician specialty code for Undersea...
You may have heard a few...
01/09/2019
Today's Wound Clinic
HBOT
Oxygen & Wound Healing: Going Beyond Hyperbaric Therapy
11/07/2018
Frank Aviles Jr., PT, CWS, FACCWS, CLT-LANA, ALM, AWCC, DAPWCA
Debbi Whitten-Byles, RRT, RRT-SDS
Insurance restrictions and clinical guidance may preclude patients from receiving HBOT. But the lack of oxygen experienced by those living with COPD and sleep apnea may be more troubling for outpatient clinics when trying to heal wounds.
Insurance restrictions and clinical guidance may preclude patients from receiving HBOT. But the lack of oxygen experienced by those living with COPD and sleep apnea may be more troubling for outpatient clinics when trying to heal wounds.
Insurance restrictions and...
11/07/2018
Today's Wound Clinic
Revenue
Wound Care & Hyperbaric Insights: Revenue Cycle Tips for New Wound Care Clinics
10/03/2018
Kathleen D. Schaum, MS
Newly opened wound care clinics only have one opportunity to streamline revenue cycle processes at the time of launch. What do those with experience suggest for today’s facilities? Today’s Wound Clinic (TWC) has published numerous articles...
Newly opened wound care clinics only have one opportunity to streamline revenue cycle processes at the time of launch. What do those with experience suggest for today’s facilities? Today’s Wound Clinic (TWC) has published numerous articles...
Newly opened wound care clinics...
10/03/2018
Today's Wound Clinic

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From the Editor
Musings From The UHMS Meeting
07/05/2018
Caroline E. Fife, MD, FAAFP, CWS, FUHM
It was almost exactly 20 years ago — during the summer of 1998 — that I took over as president of the Undersea & Hyperbaric Medical Society (UHMS). As I write this, I’m at the UHMS annual scientific meeting in Orlando, FL.
It was almost exactly 20 years ago — during the summer of 1998 — that I took over as president of the Undersea & Hyperbaric Medical Society (UHMS). As I write this, I’m at the UHMS annual scientific meeting in Orlando, FL.
It was almost exactly 20 years...
07/05/2018
Today's Wound Clinic
HBOT
The New Near Future of Hyperbaric Medicine Regulation: Targeted Probe and Educate
03/01/2018
Helen B. Gelly, MD, FACCWS, UHM/ABPM, FUHM
It is well known in the hyperbaric community that the Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization model in 2015 for non-emergent hyperbaric oxygen therapy (HBOT) in Illinois, Michigan, and New Jersey. This...
It is well known in the hyperbaric community that the Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization model in 2015 for non-emergent hyperbaric oxygen therapy (HBOT) in Illinois, Michigan, and New Jersey. This...
It is well known in the...
03/01/2018
Today's Wound Clinic
HBOT
Ethical Considerations for Approved & Off-Label Use of Hyperbaric Medicine
03/01/2018
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Guidelines exist for the ethical off-label use of HBOT. An institutional review board- approved protocol is not required for case- by-case decisions to use HBOT off-label. It is possible to utilize HBOT unethically for approved indications....
Guidelines exist for the ethical off-label use of HBOT. An institutional review board- approved protocol is not required for case- by-case decisions to use HBOT off-label. It is possible to utilize HBOT unethically for approved indications....
Guidelines exist for the ethical...
03/01/2018
Today's Wound Clinic

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HBOT
Hyperbaric Medicine Quality Reporting: Building an Ark to Ensure Survival
03/01/2018
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Will wound care providers get on board with HBOT quality reporting before the flood waters get too high? That remains to be seen. 
Will wound care providers get on board with HBOT quality reporting before the flood waters get too high? That remains to be seen. 
Will wound care providers get on...
03/01/2018
Today's Wound Clinic
Business Briefs
Frequently Asked Questions About HBOT Reimbursement
03/01/2018
Kathleen D. Schaum, MS
Even though obtaining reimbursement for hyperbaric oxygen therapy (HBOT) requires the same skills as obtaining reimbursement for other wound care procedures, wound care professionals continue to have many questions about coding, payment,...
Even though obtaining reimbursement for hyperbaric oxygen therapy (HBOT) requires the same skills as obtaining reimbursement for other wound care procedures, wound care professionals continue to have many questions about coding, payment,...
Even though obtaining...
03/01/2018
Today's Wound Clinic
HBOT
The Expanding Scope of Prepayment Review for Hyperbaric Oxygen Therapy
02/06/2017
Helen B. Gelly, MD, FACCWS, UHM/ABPM, FUHM
In 2016, prepayment review for Hyperbaric Oxygen Therapy (HBOT) Healthcare Common Procedure Coding System code G0277 was started by Medicare Administrative Contractors, including Noridian Healthcare Solutions, Novitas Solutions, Palmetto...
In 2016, prepayment review for Hyperbaric Oxygen Therapy (HBOT) Healthcare Common Procedure Coding System code G0277 was started by Medicare Administrative Contractors, including Noridian Healthcare Solutions, Novitas Solutions, Palmetto...
In 2016, prepayment review for...
02/06/2017
Today's Wound Clinic

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HBOT
Uncharted Territory: Site Neutrality & Hyperbaric Therapy
01/05/2017
Helen B. Gelly, MD, FACCWS, UHM/ABPM, FUHM
Where is the utilization of HBOT for wounds headed? That all depends on where the clinician is working.   
Where is the utilization of HBOT for wounds headed? That all depends on where the clinician is working.   
Where is the utilization of HBOT...
01/05/2017
Today's Wound Clinic

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Today's Wound Clinic Newsletter

Letter From the Editor

Guest Editorial
Advocate for Your Wound Care Patients on the Proposed MAC Policy on CTPs
05/29/2024
Eric J. Lullove, DPM, CWSP
The MACs recently released proposed coverage policy updates for applying CTPs for DFUs and VLUs. This is your opportunity to effect change by submitting comments to the MACs before the policy becomes final. You have a responsibility to know...
The MACs recently released proposed coverage policy updates for applying CTPs for DFUs and VLUs. This is your opportunity to effect change by submitting comments to the MACs before the policy becomes final. You have a responsibility to know...
The MACs recently released...
05/29/2024
Today's Wound Clinic
From the Editor
The Future of Wound Care in the Quality Payment Program
03/13/2024
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Whether we will be able to survive as wound care practitioners will, at least in part, depend on having quality measures that are relevant to what we actually do.
Whether we will be able to survive as wound care practitioners will, at least in part, depend on having quality measures that are relevant to what we actually do.
Whether we will be able to...
03/13/2024
Today's Wound Clinic
From the Editor
The Non-Pressure Ulcer Episode-Based Cost Measure "Field Test" Began Feb. 1
02/05/2024
Caroline E. Fife, MD, FAAFP, CWS, FUHM
For years I have been explaining how the QPP could be the end of wound care practitioners. The entire QPP is designed around recognized medical specialties and since there is no recognized specialty for wound care, we are all in trouble.
For years I have been explaining how the QPP could be the end of wound care practitioners. The entire QPP is designed around recognized medical specialties and since there is no recognized specialty for wound care, we are all in trouble.
For years I have been explaining...
02/05/2024
Today's Wound Clinic
Guest Editorial
The G-Code Solution to Skin Substitute Reimbursement
01/25/2024
Shaun Carpenter MD, CWSP
I am calling on CMS to adopt new G codes to replace Q code reimbursement and CPT 15000 codes for skin substitute application procedures and to establish skin substitute product code classes.
I am calling on CMS to adopt new G codes to replace Q code reimbursement and CPT 15000 codes for skin substitute application procedures and to establish skin substitute product code classes.
I am calling on CMS to adopt new...
01/25/2024
Today's Wound Clinic
Guest Editorial
Wound Size Matters: Analysis of the New Restrictive Skin Substitute LCD Policy
09/01/2023
Shaun Carpenter MD, CWSP, WMS
With so much ambiguity remaining, an immediate compromise on the number of applications to allow 7 is warranted both from an ethical and medical perspective. The current restriction of 4 applications is clearly not based on an accurate...
With so much ambiguity remaining, an immediate compromise on the number of applications to allow 7 is warranted both from an ethical and medical perspective. The current restriction of 4 applications is clearly not based on an accurate...
With so much ambiguity...
09/01/2023
Today's Wound Clinic
Guest Editorial
Wrestling With Implicit Bias to Deliver Better Care for Our Patients
06/01/2023
Monique L. Abner, MD, CWSP
For some, bias remains a sensitive issue, and some people are reluctant to admit to the need for introspection. However, to mitigate the ill effects of bias, everyone must first acknowledge that it exists.
For some, bias remains a sensitive issue, and some people are reluctant to admit to the need for introspection. However, to mitigate the ill effects of bias, everyone must first acknowledge that it exists.
For some, bias remains a...
06/01/2023
Today's Wound Clinic
From the Editor
Confessions of a Doctor With Lipedema
03/14/2023
Caroline E. Fife, MD, FAAFP, CWS, FUHM
It is hard to understand how demoralizing it is. Lipedema affects your entire life, starting in the teenage years.
It is hard to understand how demoralizing it is. Lipedema affects your entire life, starting in the teenage years.
It is hard to understand how...
03/14/2023
Today's Wound Clinic
From the Editor
Why Won’t the DME Provide Dressings for My Patient?
02/23/2023
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Maybe Because Of My Documentation
Maybe Because Of My Documentation
Maybe Because Of My...
02/23/2023
Today's Wound Clinic
Guest Editorial
How Wound Care Providers Can Treat Patients Like People, Not Like Cases
02/01/2023
Morgan McCoy
Finding a skilled wound care professional comes down finding someone who is confident in their skill/craft—someone who treats the whole patient, not just the wound. Finding someone who would see me as a person and a whole being rather than...
Finding a skilled wound care professional comes down finding someone who is confident in their skill/craft—someone who treats the whole patient, not just the wound. Finding someone who would see me as a person and a whole being rather than...
Finding a skilled wound care...
02/01/2023
Today's Wound Clinic
Guest Editorial
Amputations in Pyoderma Gangrenosum Patients: Underreported or Very Rare?
01/11/2023
Shannon Kody, MD
Alex G. Ortega-Loayza, MD, MCR
Are providers missing the diagnosis of PG because they are anchoring on “positive” biopsy findings? Could we be missing cases in which PG patients underwent amputation, didn’t have a recurrence, and were never diagnosed? Or are we just not...
Are providers missing the diagnosis of PG because they are anchoring on “positive” biopsy findings? Could we be missing cases in which PG patients underwent amputation, didn’t have a recurrence, and were never diagnosed? Or are we just not...
Are providers missing the...
01/11/2023
Today's Wound Clinic

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Coping With COVID-19

Business Briefs
Telehealth Use Continues and Receives Further Medicare Payment 
01/25/2023
Kathleen D. Schaum, MS
The COVID-19 PHE has been extended for 90 more days. This author reviews the Medicare telehealth flexibility extensions that may be important to wound/ulcer management professionals.
The COVID-19 PHE has been extended for 90 more days. This author reviews the Medicare telehealth flexibility extensions that may be important to wound/ulcer management professionals.
The COVID-19 PHE has been...
01/25/2023
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency Waivers Q&A
09/07/2022
Kathleen D. Schaum, MS
This author answers more questions about what will happen to telehealth and other waivers when the COVID-19 PHE ends.
This author answers more questions about what will happen to telehealth and other waivers when the COVID-19 PHE ends.
This author answers more...
09/07/2022
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency Extension Also Applies to Telehealth
08/15/2022
Kathleen D. Schaum, MS
The COVID-19 Public Health Emergency (PHE) is extended through October 13, 2022. Many wound/ulcer management professionals have been using telehealth and should be happy to know that the Medicare waivers pertaining to telehealth have also...
The COVID-19 Public Health Emergency (PHE) is extended through October 13, 2022. Many wound/ulcer management professionals have been using telehealth and should be happy to know that the Medicare waivers pertaining to telehealth have also...
The COVID-19 Public Health...
08/15/2022
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency, Coding Changes, and Coverage Changes Continue
02/09/2022
Kathleen D. Schaum, MS
For this month, let us review the continuation of the COVID-19 public health emergency (PHE), and the continuation of the ever-changing codes and coverage.
For this month, let us review the continuation of the COVID-19 public health emergency (PHE), and the continuation of the ever-changing codes and coverage.
For this month, let us review...
02/09/2022
Today's Wound Clinic

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