Submitting OIG:
Report Description:
Hyperbaric oxygen therapy (HBO therapy) involves giving a patient high concentrations of oxygen within a pressurized chamber in which the patient intermittently breathes in 100-percent oxygen. A prior Office of Inspector General review identified issues with Medicare payments for HBO therapy. More recently, a review by a Centers for Medicare & Medicaid Services (CMS) contractor found that claims for HBO therapy services were denied because of a lack of medical documentation. In 2015, CMS began a prior authorization demonstration program for non-emergent HBO therapy to test its effectiveness.
Date Issued:
Wednesday, February 14, 2018
Agency Reviewed / Investigated:
Submitting OIG-Specific Report Number:
A-01-15-00515
Component, if applicable:
Centers for Medicare & Medicaid Services
External entity, if applicable:
Wisconsin Physicians Service Government Health Administrators
Location(s):
WI
United StatesType of Report:
Audit
Questioned Costs:
$0
Funds for Better Use:
$0
Number of Recommendations:
4
View Document:
Attachment | Size |
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Additional Details Link: