Hyperbaric Oxygen Therapy Part 1: What You Don’t Know Can Hurt You—Ensuring Regulatory Compliance

Course Description

Moderator/Speaker: Caroline Fife, MD, CWS, FUHM
Speaker: Helen Gelly, MD, FUHM, FCCWS, UHM/ABPM

Recently, several Hyperbaric Oxygen Therapy (HBOT) providers have been successfully prosecuted for serious violations of Medicare regulations. Medicare provider payment data have recently been made public, increasing the importance of knowing and complying with all regulatory requirements. Pressures are increasing on HBOT services from many agencies affecting physician and staff credentialing, mandating emergency response capabilities of the facility, and requiring preauthorization of non-emergency HBOT services by some Medicare Administrative Contractors. Submission of hyperbaric quality measures could prevent the loss of some provider Medicare part B revenue. It is imperative that HBOT providers and facilities understand these issues since payment for both practitioners and hospitals is at risk.