Billing and collections for medical practices can be complex.
For specialized fields like wound care and hyperbaric medicine, the challenges are even greater. From intricate coding requirements to managing recurring treatments and ensuring compliance with regulations, effective billing is essential to maintaining a healthy revenue cycle. For many practices, these complexities can lead to lost revenue and administrative strain without the right expertise.
At AMS Solutions, we focus on simplifying and optimizing the billing process for wound care and hyperbaric medicine practices. With years of experience and a dedicated team of billing specialists, we provide the expertise needed to navigate the unique demands of these specialties. Our goal is to ensure you receive the full reimbursement you deserve while freeing your team to concentrate on patient care.
Wound care and hyperbaric medicine aren’t just highly specialized—they’re also among the most complex fields in medical billing. The treatments provided in these areas often involve advanced procedures, recurring visits, and rigorous documentation requirements, making precise billing an absolute necessity.
Wound care treatments like surgical debridement, skin grafts, and pressure ulcer management require meticulous coding to ensure accurate reimbursement. Similarly, hyperbaric oxygen therapy involves specific codes that reflect the treatment’s equipment, duration, and medical necessity. Without a billing partner with expertise in these codes, practices risk underbilling or triggering denials.
Patients undergoing wound care or hyperbaric therapy typically require multiple visits over extended periods. Managing billing for ongoing treatments can be a logistical challenge, especially when insurance companies demand detailed records and updates at every step. Having a specialized billing partner ensures these recurring services are billed properly and consistently.
The healthcare industry is known for its constant regulatory updates, and wound care and hyperbaric medicine are no exception. Keeping up with coding changes, compliance rules, and insurance requirements can overwhelm even the most organized teams.
With AMS Solutions, you’ll benefit from our ongoing training and up-to-date knowledge, reducing your risk of non-compliance and claim rejections.
At AMS Solutions, we’ve developed a proven approach to handle the unique complexities of wound care and hyperbaric medicine billing. Our specialized services are designed to help your practice overcome common obstacles, streamline operations, and maximize revenue.
Our team understands the nuances of coding for advanced procedures like hyperbaric oxygen therapy and complex wound care treatments. We ensure that every service you provide is coded accurately, leaving no room for errors that could delay or deny reimbursement.
We take a proactive approach to minimize denials, starting with thorough documentation and error-free claim submissions. If a claim is denied, we work quickly to appeal and resolve it, ensuring you recover as much revenue as possible. Our proven strategies help practices see a noticeable improvement in their bottom line.
We utilize state-of-the-art billing software to streamline the entire revenue cycle. From claim submissions to real-time tracking and reporting, our tools provide transparency and efficiency.
No two practices are the same, and that’s why we take the time to understand your specific needs. Whether your focus is chronic wound care, advanced hyperbaric treatments, or a combination of services, we customize our solutions to align with your goals. An individualized approach like this lets us bring unparalleled value to your organization.
State-of-the-art billing software ensures accuracy at every step, from coding and claim submission to follow-ups and payment tracking. This technology minimizes human error, reducing the risk of denied claims and speeding up reimbursements.
Real-time tracking capabilities allow you to monitor the status of your claims, providing complete transparency and peace of mind. Our tools also analyze your billing data, identifying trends and highlighting opportunities to optimize your revenue cycle. By automating repetitive tasks, we free up your staff to focus on patient care and other essential responsibilities.
Incorporating cutting-edge technology into our services ensures your practice stays ahead of industry changes and payer requirements. With AMS Solutions, you’ll benefit from a seamless, efficient billing process that supports your practice’s financial health and operational success.
Our team is dedicated to submitting clean claims the first time, reducing delays caused by errors or incomplete information. We ensure claims are processed promptly by staying on top of industry regulations and payer requirements. Faster reimbursements mean improved cash flow, enabling your practice to reinvest in patient care and growth.
Handling billing in-house often takes valuable time and resources away from patient care. By partnering with us, your team can offload the complexities of billing, coding, and collections, allowing them to focus on what matters most—your patients. We handle everything from claims submissions to follow-ups, so you don’t have to. Our commitment to accuracy ensures your claims are compliant, reducing the risk of costly errors.
Detailed Reporting and Analytics: Our reporting tools provide insights into your billing performance, helping you identify trends, track revenue, and make informed decisions for your practice.
Quick answer
AMS Solutions bills HBOT for independent, physician-led hyperbaric and wound clinics that bill insurance.
CPT 99183: physician attendance and supervision of hyperbaric oxygen therapy, per session.
HCPCS G0277: hyperbaric oxygen under pressure, full body chamber, per 30-minute interval.
The Medicare Claims Processing Manual, Chapter 32, §30 states that G0277 “is not available for use other than in a hospital outpatient department.” The hospital bills chamber time with G0277; the physician bills 99183. An independent office or freestanding clinic billing Medicare reports 99183 only.
Under NCD 20.29, Medicare pays for HBO therapy only when given in a chamber (including the one-man unit) for these conditions:
For diabetic wounds, the patient must have type I or type II diabetes with a lower extremity wound due to diabetes, a wound classified as Wagner grade III or higher, and a failed adequate course of standard wound therapy, meaning “no measurable signs of healing for at least 30 consecutive days.” HBO must be used in addition to standard wound care, wounds must be evaluated at least every 30 days, and treatment stops being covered after any 30-day period without measurable healing.
All other indications are non-covered, including cutaneous, decubitus, and stasis ulcers. Topical oxygen is not HBO therapy under the NCD; its coverage for chronic wounds is left to the local MAC.
99183 describes physician attendance and supervision of each session. For CY2026, CMS permanently allows direct supervision through real-time audio and video (not audio-only) for services without a 010 or 090 global indicator (42 CFR 410.32(b)(3)(ii)). CMS has not said this satisfies the “attendance” in 99183, so confirm with your MAC first. Some Medicaid programs are stricter: Texas Medicaid requires prior authorization for 99183 and G0277 and constant physician attendance during compression and decompression.
AMS Solutions, Inc. was physician-founded in 1992 and works under a signed BAA for covered services. AAPC-certified coders work inside your existing EHR. We support practices in all 50 states across 28+ specialties, with billing and credentialing under one roof. Request a free billing analysis and get written findings within 5 business days.
Does Medicare cover HBOT for pressure ulcers or venous stasis ulcers?
No. NCD 20.29 lists cutaneous, decubitus, and stasis ulcers among the conditions Medicare will not pay HBO therapy for.
Who bills CPT 99183 and who bills G0277?
The physician bills 99183 for attendance and supervision of each session. CMS limits G0277 (per 30-minute chamber interval) to hospital outpatient departments, so the hospital bills it.
Free Consultation
Schedule Meeting