Tip 6: Insurance. When asking for authorization, ensure that any supervising physician of hyperbaric treatments, participates with the patient's insurance carrier.
Tip 7: Remember the 16th minute rule. Hyperbaric treatments for medicare are reimbursed in 30 minute segments beginning from the time the door of the chamber is closed and ending when the door of the chamber is opened. To justify billing the next subsequent segment, the time must reach into the 16th minute of the next 30 minute segment. Otherwise, you round down to the previous segment. The times noted on the treatment chart will justify the segmental billing.
Tip 8: DFU. The medical record for diabetic foot ulcers should have a statement regarding adequate glycemic control, offloading, and debridements.
Tip 9: Medical records.The medical record should have statements regarding the physician supervision, accessibility and, in some cases, availability of emergency and/or ICU services.
Tip 10: Review and re-evaluate often. Utilization review is key to avoiding denials and excess expense to both the patient and the healthcare industry. This both justifies continued treatment (if improvement is seen) and discontinuation (if the patient is not improving). Patient reevaluation is recommended to occur after 20 treatments and then each 10 treatments after that. Most indications should not exceed 60 treatments.