Reimbursement & Compliance
How to set up and optimize your wound care formulary
Why set up and/or optimize your Institution’s Formulary? The goal of a wound care product formulary is to help all healthcare professionals who care and treat ...
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CMS Medically Unlikely Edits (MUE)
Reimbursement & Compliance
CMS Medically Unlikely Edits (MUE)
INTRODUCTIONWhat exactly are Medically Unlikely Edits (MUE)? 
 "A MUE isa maximum number of Units of Service (UOS) allowable under most circumstances for a si...
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CMS Targeted Probe and Educate for HBOT Codes 99183 & G0277
Reimbursement & Compliance
CMS Targeted Probe and Educate for HBOT Codes 99183 & G0277
Be aware and prepare for the Targeted Probe and Educate (TPE) review process The goal of CMS's Targeted Probe and Educate program is to help providers and ...
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Know Your Place Of Service
Reimbursement & Compliance
Know Your Place Of Service
Why accurate reimbursement with place of service coding matters Inaccurate information on claims frequently leads to incorrect reimbursement and hassles when...
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Reimbursement & Compliance
Obtaining Prior Authorization from Non-Medicare Carriers for Hyperbaric Oxygen Therapy
 INTRODUCTION Denied claims due to unauthorized patient procedures or services can be a major loss in revenue. Although most medical offices and provider based...
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Reimbursement & Compliance
Hyperbaric Oxygen Therapy - The 30 Day Requirement For Diabetic Foot Ulcer
Getting reimbursed for your services - preventing hyperbaric oxygen therapy (HBO) services Medicare denials when treating Diabetic Foot Ulcers (DFU)When deny...
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