The Reimbursement Rollercoaster-Provider & Facility Update
July 2, 2017

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Course Directors:
Marc Robins, DO
Matt Schweyer, CHT


  • Provide an overview of the documentation elements required for initial and ongoing care in the HBOT facility
  • Can I bill it?  And will I get reimbursed?
  • Baseline understanding on NCCI edits & CMS addendum, what these really mean and impact on delivery of care?
  • Breaking down MACRA

The purpose of this course is to provide current information related to new changes in coding, billing and documentation for reimbursement in the new MACRA regulatory ERA. This course is organized by both regular and associate members. The sessions will be of special interest to clinicians and technical staff and is provided in response to requests from the membership for a post-course related to new reimbursement issues related to clinical hyperbaric oxygen therapy. MOC/CME and CEU will be available for this course.



0800-0845 A Deep Dive into MACRA/MIPS and the Calculations you need to Survive Caroline Fife, MD
Moving Hyperbarics from Volume to Value: Exploring alternative payment models: Caroline Fife/Helen Gelly/Marc Robins will use 3 Cases Studies to illustrate current reimbursement under MIPS vs. shared risk or capitated models Helen Gelly, MD/Marc Robins, DO/Caroline Fife, MD
1030-1045 BREAK
1045-1130 The Big MAC: Prior-Authorization and Pre-payment Review– how to prepare, prevent, respond, survive. Matt Schweyer, CHT/Helly Gelly, MD
1130-1215 Billing Compliance, Facility and Professional coding (modifiers, CCI edits, bundling & other management headaches.) Matt Schweyer, CHT
1215-1230 Panel Q&A / Adjourn


Accreditation Statement: The Undersea and Hyperbaric Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statements: The Undersea and Hyperbaric Medical Society designates this live activity for a maximum of TBA AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing CEU is approved by the Florida Board of Registered Nursing Provider #50-10881. Northeast Chapter Credit hours 4.5.
Licenses Types Approved: Advanced Registered Nurse Practitioner; Clinical Nurse Specialist; Licensed Practical Nurse; Registered Nurse; Certified Nursing Assistant; Respiratory Care Practitioner Critical Care; Respiratory Care Practitioner Non-Critical Care; Registered Respiratory Therapist; Certified Respiratory Therapist

NBDHMT: This live activity is approved for 4.25 Category A credit hours by National Board of Diving and Hyperbaric Medical Technology, 9 Medical Park, Suite 330, Columbia, South Carolina 29203.

This activity has been approved by the American Board of Preventive Medicine for up to TBA MOC credits. Claiming ABPM MOC credit is appropriate for those who are ABPM diplomates.”

Full Disclosure Statement:
 All faculty members and planners participating in continuing medical education activities sponsored by Undersea and Hyperbaric Medical Society are expected to disclose to the participants any relevant financial relationships with commercial interests. Full disclosure of faculty and planner relevant financial relationships will be made at the activity. 

Disclaimer: The information provided at this CME activity is for Continuing Medical Education purposes only. The lecture content, statements or opinions expressed however, do not necessarily represent those of the Undersea and Hyperbaric Medical Society.