{"id":2811,"date":"2024-04-30T19:56:01","date_gmt":"2024-04-30T19:56:01","guid":{"rendered":"http:\/\/hfhpulm.com\/info\/?p=2811"},"modified":"2024-04-30T19:56:02","modified_gmt":"2024-04-30T19:56:02","slug":"2024-medicare-oxygen-guidelines-requirements","status":"publish","type":"post","link":"https:\/\/hfhpulm.com\/info\/?p=2811","title":{"rendered":"2024 Medicare Oxygen Guidelines\/Requirements"},"content":{"rendered":"\n

In the attached document<\/a>, Hart Medical has outlined an additional step to provide supplemental oxygen for our patients. <\/p>\n\n\n\n

As this is a Medicare guideline, I suspect all other DME providers and insurance companies will adopt or have adopted these changes as well. <\/p>\n\n\n\n

To prescribe oxygen the patient needs to:<\/p>\n\n\n\n

  1. Have an oxygen saturation \u2264 88% (or \u2264 89% with any of the following):
    • Dependent edema suggesting congestive heart failure (-OR-)<\/li>
    • Pulmonary hypertension or cor pulmonale, determined by measurement of pulmonary artery pressure, gated blood pool scan, echocardiogram, or \u201cP\u201d pulmonale on EKG (P wave greater than 3 mm in standard leads II, III, or AVF) (-OR-)<\/li>
    • Erythrocythemia with a hematocrit greater than 56%<\/li><\/ul><\/li>
    • Have an oxygen saturation \u2264 88% on room air with exercise<\/li>
    • Have an oxygen saturation \u2264 88% during sleep for at least 5 minutes (does not have to be continuous)<\/li><\/ol>\n\n\n\n

      In addition to the oxygen prescribing criteria, the PRESCRIBING PROVIDER will now need to do one of the following:<\/p>\n\n\n\n

      1. Mention the evidence of oxygen saturation test results in the chart notes (-OR-)<\/li>
      2. Add a new chart note regarding the evidence of oxygen saturation test results (-OR-)<\/li>
      3. Co-sign the actual oxygen saturation test results<\/li><\/ol>\n\n\n\n

        Since all of our walk oxygen tests and 6 minute walk tests are signed by the PFT fellow and the K17 OPD rounder (or Mike Lazar on Fridays), choice #3 will often not be applicable.\u00a0<\/p>\n\n\n\n

        So, to be compliant with the new Medicare requirements: <\/p>\n\n\n\n

        • Please make sure that you comment directly on the oxygen saturation test in your progress note (i.e., when you see the patient in clinic) -OR-generate a new note in Epic.<\/li>
        • One of these notes should coincide to when you generate an oxygen prescription in Epic.<\/li>
        • You note should also include that \u201cthe patient\u2019s medical condition will benefit from oxygen\u201d.<\/li><\/ul>\n\n\n\n

          <\/p>\n","protected":false},"excerpt":{"rendered":"

          In the attached document, Hart Medical has outlined an additional step to provide supplemental oxygen for our patients.  As this is a Medicare guideline, I suspect all other DME providers and insurance companies will adopt or have adopted these changes as well.  To prescribe oxygen the patient needs to: Have an oxygen saturation ≤ 88% […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[6],"tags":[186,185],"class_list":["post-2811","post","type-post","status-publish","format-standard","hentry","category-clinic","tag-o2","tag-oxygen"],"modified_by":"Michael Lazar","_links":{"self":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/2811","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2811"}],"version-history":[{"count":3,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/2811\/revisions"}],"predecessor-version":[{"id":2815,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=\/wp\/v2\/posts\/2811\/revisions\/2815"}],"wp:attachment":[{"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2811"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2811"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hfhpulm.com\/info\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2811"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}