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Aerospace Medical Association &
Undersea and Hyperbaric Medical Society

Workshop: Emerging Challenges in Wound Care and Hyperbaric Medicine: Audits, Appeals, and Payer Policy Shifts

This workshop provides a focused, practical overview of the rapidly evolving clinical, regulatory, and reimbursement landscape in wound care and hyperbaric oxygen therapy (HBOT). Through a series of expert-led sessions, participants will explore the management of atypical and complex wounds, including pressure injuries, and examine the growing role of advanced therapies such as skin substitutes and cellular/tissue-based products (CTPs).

The course emphasizes real-world challenges related to coverage and payer policy, including private payer variability, off-label use considerations, and the divide between clinical innovation and reimbursement acceptance. Attendees will gain clarity on defining and documenting medical necessity, navigating prepayment review programs, and understanding the impact of tools such as AI and evidence-based resources on clinical decision-making.

A key focus of the workshop is audit readiness and response. Participants will learn strategies to manage audits involving CTPs and HBOT, engage in effective payer communication and mediation, and understand the evolving stance of organizations such as UHMS. Practical insights into cost considerations, compliance, and appeals processes will equip clinicians, administrators, and revenue cycle professionals to succeed in today’s increasingly scrutinized environment.

CONTINUING EDUCATION

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:

  • Physician CME: The Undersea and Hyperbaric Medical Society designates this live activity for a maximum of 8 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • Nursing CEU: Approved license types: 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. This live activity is approved for 8 contact hours by the Florida Board of Registered Nursing Provider #50-10881.
  • NBDHMT: NBDHMT does not recognize this live activity for credit hours.
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Event Information

Event Date 05-17-2026 8:00 am
Event End Date 05-17-2026 5:00 pm
Price $250.00

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Agendas

0800-0830

Setting the Table, Wound Care, SkIn Subs HBOT

Caroline Fife, MD & Helen Gelly, MD
0830-0915

When It’s Not What You Think: Spotting and Managing Atypical Wounds

Matt Kelly, MD

0915-1000

Pressure Injuries on Trial: The Blame Game Revisited

Caroline Fife, MD

1000-1045

Denied or Approved? Decoding Private‑Payer Coverage in Wound Care

Kelly Johnson-Arbor, MD

1045-1130

Behind the Curtain: Inside the Insurer’s Playbook

Phi-Nga Jeannie Le, MD

1130-1215

Is it Off label or Research?

Sandra Wainwright, MD

1215-1315

Lunch

On Own
1315-1345

Use of AI in Prior Authorization and private payer mediation

Jay Shah, MD
1345-1430

What now? The new world order for advanced therapeutics

Helen Gelly, MD
1430-1445

Break
1445-1545

Audit Survival Techniques

Mike Crouch, CHT

1545-1615

Defining Medical Necessity for Advanced Therapeutics

Dave Charash, DO
1615-1630

The UHMS Speaks: Elevating the Dialogue with Payers

Caroline Fife, MD and Helen Gelly, MD
1630-1700

Closing the Loop: Lessons, Leverage, and Next Steps

Panel