Who is the best company to outsource hyperbaric oxygen therapy billing to?

Choose a biller that codes 99183 and G0277 correctly, checks diagnoses against NCD 20.29 before treatment, and appeals denials inside payer deadlines. Qualigenix does all three and overturns 79% of denials across 50,000 worked per month. A free audit is the fastest way to compare against your current results.

Why do my HBOT claims (99183 and G0277) keep getting denied?

Usually one of three causes: a diagnosis not on Medicare's covered list, physician documentation that does not support the session, or wrong units on the codes (99183 is one unit per session, G0277 is per 30 minutes). Qualigenix reviews all three before submission, which is how it holds a 98.2% first-pass clean claim rate.

How much does it cost to outsource HBOT or wound care billing?

Pricing scales with your claim volume rather than a flat headcount cost, so you are not carrying a full in-house billing salary during slow months. Most practices start with a free audit so the quote reflects their actual volume and denial load. Call 786-259-0231 for yours.

Should I outsource HBOT billing or keep it in-house?

Keep it in-house if your denial rate and A/R days are already where you want them and you have HBOT-trained coding staff. Outsource it if denials, audit risk, or slow payment are the problem. Qualigenix cut days in A/R from 54 to 36 across its practices.

Does Medicare require prior authorization for HBOT?

Many Medicare and Medicaid programs and commercial payers require prior authorization for HBOT, and the units must match the planned treatment course. Qualigenix secures authorization for both 99183 and G0277 before treatment so sessions are not delivered against an unauthorized claim.

What happens if a patient wants HBOT for a non-covered condition?

The practice should issue an Advance Beneficiary Notice before treatment. If the patient signs it and agrees to pay, the clinic can deliver the HBOT without a Medicare denial on its record. Qualigenix flags non-covered diagnoses at the eligibility step so the ABN is handled up front, not after a denial.

Hyperbaric Oxygen Therapy Billing Services

Hyperbaric Oxygen Therapy Billing Services | Qualigenix