Hyberbaric oxygen therapy claims, under CMS’ gaze, seesaw between 2015 and 2018

Why This Topic Matters

It helps coding and reimbursement professionals understand how CMS oversight initiatives can affect utilization patterns and claims reporting for hyperbaric oxygen therapy. The article is relevant to teams monitoring Medicare policy changes, code updates, and claim denial risk.

Article Sections

1. Medicare claims and prior authorization model

   Overview of the Medicare claims trend for non-emergent hyperbaric oxygen therapy and the CMS prior authorization model introduced to address utilization concerns.

2. HCPCS reporting changes and claim activity

   Discussion of the reporting shift over time for hyperbaric oxygen therapy claims and the general pattern of claim volume during the model period.

3. Coding maintenance reminder

   A brief professional reminder about keeping annual coding references current and monitoring payer updates to reduce claim problems.