President’s End-of-Year Message

Dear Friends, The end of the year is a good time to reflect upon the accomplishments of the year and also to be thankful for everything we, as an organization, have achieved throughout the year. I am happy to report that the ACHM is strong. Our reputation, our credibility, our member engagement, our sponsor commitment [...]

By | 2017-12-20T01:18:07+00:00 December 20th, 2017|Uncategorized|0 Comments

ICD-10 Updates

CMS has published the newest additions to the NCD 20.29 list of covered indications. These are mainly for DFU , so non-pressure ulcer of whatever level WITHOUT necrosis, which was a coding issue. Update policy effective 4/3/17, section C, non-coverage of topical oxygen, is removed from NCD20.29, HBO, to allow MAC discretion. See CR10220. NOTE: [...]

By | 2017-12-10T05:07:53+00:00 December 10th, 2017|Uncategorized|0 Comments

President’s Message – November 2017

The ACHM Board Approves Creation of the ACHM Research Foundation As early as 2004, the American College of Hyperbaric Medicine (ACHM) began to receive numerous notifications from its membership that several national insurance carriers had determined that hyperbaric oxygen therapy (HBOT) for radiation necrosis would be categorized as experimental/investigational and subsequently resulted in denial of [...]

By | 2017-11-06T17:22:37+00:00 November 6th, 2017|Uncategorized|0 Comments

Novitas listing HBO on “Targeted Probe and Educate”

Targeted Probe and Educate (TPE) is one process that a Medicare Administrative Contractor (MAC) can utilize when providers are selected by Medical Review. The TPE review process includes three rounds of a prepayment probe review with education. If there are continued high denials after the first three rounds of reviews, Novitas will refer the provider [...]

By | 2017-11-03T03:16:12+00:00 November 3rd, 2017|Uncategorized|0 Comments

Study on Nonhealing Wounds Published in Value in Health

The prestigious economic journal, International Society For Pharmacoeconomics and Outcomes Research’s (ISPOR) Value in Health, published the Alliance’s study, “An Economic Evaluation of the Impact, Cost, and Medicare Policy Implications of Chronic Nonhealing Wounds,” online this week. This is the first comprehensive study of Medicare spending on wound care and the findings and policy implications [...]

By | 2017-11-03T04:39:07+00:00 November 3rd, 2017|Uncategorized|0 Comments