tci Outpatient Facility Coding Alert - 2017 Issue 11

Reader Question: It's Not Just Wound Care—It's HBO

Question: I work for a hospital system that has an outpatient wound care center. I understand that Hyperbaric Oxygen (HBO) therapy services are likely to attract auditors. How can I help my facility bulletproof our HBO claims? Michigan Subscriber Answer: You are absolutely correct to be watching HBO claims carefully for medical necessity and documentation issues. According to Linda Martien, CPC, COC, CPMA, AAPC Fellow, HBO is an "advanced modality" that wound care providers sometimes use when other treatments have failed. High concentrations of oxygen can encourage wounds to heal, so providers sometimes put wound care patients into pressurized...

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