I was recently informed by MVP Healthcare in New York that we are not able to treat our patients wounds with HBOT without first failing a course of negative pressure wound therapy. Has anyone ever heard of this issue? Here is the statement by MVP : "For the treatment of non-healing wounds, in addition to the wound criteria listed below, documentation must indicate that for members who meet criteria for negative pressure wound therapy, the member has tried and failed negative pressure wound therapy prior to requesting hyperbaric oxygen therapy (HBO)." I have a hard time accepting this statement because it is basically establishing standard of care regardless of the situation. Any thoughts on arguing against MVP's point. I understand that their goal is to save money but a product like the WoundVac does not improve oxygen levels at the site of the wound. Thanks