Helen B. Gelly, MD, FACCWS, UHM/ABPM, FUHM

Office-Based Wound Care
The Challenges and Advantages of Office-Based Wound Care
09/28/2021
Office-based wound care can bring advantages like autonomy and flexibility in product selection, and disadvantages like isolation and financial liability.
Office-based wound care can bring advantages like autonomy and flexibility in product selection, and disadvantages like isolation and financial liability.
Office-based wound care can...
09/28/2021
Today's Wound Clinic
COVID-19 and HBOT
A Primer on Using HBOT in Patients With COVID-19
07/28/2021
Focusing on a UHMS study, this author provides a practical Q&A on whether HBOT could play a significant role for hospitalized COVID-19 patients who are hypoxemic and hypoxic.
Focusing on a UHMS study, this author provides a practical Q&A on whether HBOT could play a significant role for hospitalized COVID-19 patients who are hypoxemic and hypoxic.
Focusing on a UHMS study, this...
07/28/2021
Today's Wound Clinic
Patient Relationship Codes: Why We Need Them and the Unintended Consequences of Using Them
Feature
Patient Relationship Codes: Why We Need Them and the Unintended Consequences of Using Them
03/05/2020
This author takes a closer look at five HCPCS Level II modifier codes developed by CMS, and how complying with the mandate can result in non-payment of claims.
This author takes a closer look at five HCPCS Level II modifier codes developed by CMS, and how complying with the mandate can result in non-payment of claims.
This author takes a closer look...
03/05/2020
Today's Wound Clinic
Medicare Advantage
Taking a Critical Look at Medicare Advantage
01/09/2020
By the end of the decade, Medicare Advantage plans are projected to cover nearly half of eligible beneficiaries. This author examines the impact of Medicare Advantage plans, what the plans cover, and how the preauthorization appeals process...
By the end of the decade, Medicare Advantage plans are projected to cover nearly half of eligible beneficiaries. This author examines the impact of Medicare Advantage plans, what the plans cover, and how the preauthorization appeals process...
By the end of the decade,...
01/09/2020
Today's Wound Clinic
CMS
How Your Hierarchical Condition Category Score Can Impact Your Wound Clinic’s Finances
12/05/2019
Most people these days know their credit score. There are apps to help monitor it and to help improve it. The calculation may not be easy to understand and although the financial impact of a low credit score may be indirect, most people know...
Most people these days know their credit score. There are apps to help monitor it and to help improve it. The calculation may not be easy to understand and although the financial impact of a low credit score may be indirect, most people know...
Most people these days know...
12/05/2019
Today's Wound Clinic
HBOT
What We Have Learned From the Prior Authorization Model for Non-Emergent HBOT
09/03/2019
Taking a closer look at the Prior Authorization Project for Non-Emergent Hyperbaric Oxygen Therapy (HBOT), this author details what wound clinicians can learn from the utilization and expenditures of HBOT. In 2015, the Centers for...
Taking a closer look at the Prior Authorization Project for Non-Emergent Hyperbaric Oxygen Therapy (HBOT), this author details what wound clinicians can learn from the utilization and expenditures of HBOT. In 2015, the Centers for...
Taking a closer look at the...
09/03/2019
Today's Wound Clinic
Wound Formulary
A Practical Guide to Establishing a Wound Care Formulary in Your Clinic
06/07/2019
The Centers for Medicare and Medicaid Services (CMS) has been addressing inequities in payment for a variety of services. When a service is provided in the hospital outpatient department setting (HOPD), the patient is likely to receive two...
The Centers for Medicare and Medicaid Services (CMS) has been addressing inequities in payment for a variety of services. When a service is provided in the hospital outpatient department setting (HOPD), the patient is likely to receive two...
The Centers for Medicare and...
06/07/2019
Today's Wound Clinic
HBOT
The New Near Future of Hyperbaric Medicine Regulation: Targeted Probe and Educate
03/01/2018
It is well known in the hyperbaric community that the Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization model in 2015 for non-emergent hyperbaric oxygen therapy (HBOT) in Illinois, Michigan, and New Jersey. This...
It is well known in the hyperbaric community that the Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization model in 2015 for non-emergent hyperbaric oxygen therapy (HBOT) in Illinois, Michigan, and New Jersey. This...
It is well known in the...
03/01/2018
Today's Wound Clinic
HBOT
Update on Prior Authorization for Non-Emergent HBOT: Transforming Into Prepayment Review
10/05/2017
It has been more than two years since CMS initiated the implementation of prior authorization for non-emergent hyperbaric oxygen therapy. This update will properly inform new and existing wound clinics alike.   
It has been more than two years since CMS initiated the implementation of prior authorization for non-emergent hyperbaric oxygen therapy. This update will properly inform new and existing wound clinics alike.   
It has been more than two years...
10/05/2017
Today's Wound Clinic
HBOT
The Expanding Scope of Prepayment Review for Hyperbaric Oxygen Therapy
02/06/2017
In 2016, prepayment review for Hyperbaric Oxygen Therapy (HBOT) Healthcare Common Procedure Coding System code G0277 was started by Medicare Administrative Contractors, including Noridian Healthcare Solutions, Novitas Solutions, Palmetto...
In 2016, prepayment review for Hyperbaric Oxygen Therapy (HBOT) Healthcare Common Procedure Coding System code G0277 was started by Medicare Administrative Contractors, including Noridian Healthcare Solutions, Novitas Solutions, Palmetto...
In 2016, prepayment review for...
02/06/2017
Today's Wound Clinic

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