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

Office-Based Wound Care

The Challenges and Advantages of Office-Based Wound Care

09/28/2021

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

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

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

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

Feature

Patient Relationship Codes: Why We Need Them and the Unintended Consequences of Using Them

03/05/2020

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

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

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

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

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

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

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

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

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

David Schwegman , MD, FACEP, CWS;

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

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

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

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

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

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

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