Hospital Open Door Forums Update

Centers for Medicare & Medicaid Services
Special Open Door Forum:

Prior Authorization of Non-Emergent Hyperbaric Oxygen Therapy

Tuesday, February 3, 2015

1:30-2:30 pm Eastern Time

Conference Call Only

CMS will host a Special Open Door Forum (SODF) to allow Medicare providers, hospitals, and additional interested parties to learn about the upcoming Prior Authorization of Non-Emergent Hyperbaric Oxygen Therapy in the states of Illinois, Michigan, and New Jersey. This Special ODF, the third on this prior authorization model, will include information on the prior authorization process and a Q&A period.

The purpose of this model is to test whether prior authorization helps reduce expenditures, while maintaining or improving quality of care. CMS believes a prior authorization process will help ensure services are provided in compliance with applicable Medicare coverage, coding, and payment rules before services are rendered and before claims are submitted for payment.

Prior authorization will not create new clinical documentation requirements. Instead, it will require the same information necessary to support Medicare payment, just earlier in the process. Prior authorization allows providers to address issues with claims prior to rendering services and to avoid an appeal process.

You can find more information on the model by going to:

http://go.cms.gov/PAHBO

Questions on the model can be sent to: HBOPA@cms.hhs.gov

We look forward to your participation.

Special Open Door Participation Instructions:

Participant Dial-In Number: 1-800-837-1935

Conference ID #: 58186377

Note: TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.

A transcript and audio recording of this Special ODF will be posted to the Special Open Door Forum website at http://www.cms.gov/OpenDoorForums/05_ODF_SpecialODF.asp for downloading.

                       

For automatic emails of Open Door Forum schedule updates (E-Mailing list subscriptions) and to view Frequently Asked Questions please visit our website at http://www.cms.gov/opendoorforums/.

Thank you for your interest in CMS Open Door Forums.