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Read the Fine Print on the "Medicare for All" Plan

Read the Fine Print on the "Medicare for All" Plan

by Caroline Fife, M.D. | Oct 30, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

Senate Democrats have released the details of the “Medicare-for-all” plan under the appealing banner of, “Leaving No One Behind.” This plan apparently has broad support. I can understand why. The Affordable Care Act (ACA) kept insurance premiums in check initially via...
The Coming Storm for Wound Care

The Coming Storm for Wound Care

by Caroline Fife, M.D. | Oct 29, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

I am still recovering from the shock. I opened my October 9th JAMA and there in the Clinical Update section was “Management of Chronic Wounds -2018.” Congratulations and kudos to Drs. Jones, Foster and Longaker! They highlighted the diverse array of...
So Far, They Only Scoot to Maim

So Far, They Only Scoot to Maim

by Caroline Fife, M.D. | Oct 26, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

I wanted to take a photo of this man’s legs on his scooter because he’s got profound heart failure and I’m worried about the edema of his thighs. I have been wondering if the way he sits on his scooter contributes to his edema. (It seems like I have...
The 5th Amendment is Not Dead Yet – Courts Order Medicare to Stop Recouping Alleged Over-payments Without Due Process

The 5th Amendment is Not Dead Yet – Courts Order Medicare to Stop Recouping Alleged Over-payments Without Due Process

by Caroline Fife, M.D. | Oct 25, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

A lifetime ago, when I was a young faculty member at the University of Texas Healthcare system in Houston, I received a letter (yes, an actual PAPER letter) from my regional Medicare Administrative Carrier (MAC) – which back then we called a “fiscal...
How to Prevent Improper Use Without Costly, Time Sucking Prior Authorization

How to Prevent Improper Use Without Costly, Time Sucking Prior Authorization

by Caroline Fife, M.D. | Oct 23, 2018 | Fight the Good Fight, Health Information Technology and Wound Care, Quality Payment Program

In a recent interview, American Medical Association (AMA) President Barbara McAneny discussed the fact that insurance prior authorization can create major disruptions to patient care and significant administrative burdens to the physician’s office. The AMA estimates...
How to Fail a Medicare Audit Without Even Trying – a Cautionary Tale from the WPS Region

How to Fail a Medicare Audit Without Even Trying – a Cautionary Tale from the WPS Region

by Caroline Fife, M.D. | Oct 18, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

In a previous blog post on this site, Dr. Helen Gelly described the OIG evaluation in the WPS J5 region (Iowa, Kansa, Missouri, Nebraska, and all legacy hospitals) in which the OIG found an error rate of 85% among hyperbaric oxygen therapy claims. The OIG recommended...
Relief from the MAC Attacks

Relief from the MAC Attacks

by Caroline Fife, M.D. | Oct 12, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

Last week CMS complied with the requirements of the 21st Century Cures Act by issuing its revised instruction manual to the Medicare Administrative Contractors (MACs). You will find it described on the CMS website as: CMS Accelerates Innovation and Promotes Patient...
Newsflash: Bi-Partisan Agreement on Something! Prior Authorization is Not a "Benefit"

Newsflash: Bi-Partisan Agreement on Something! Prior Authorization is Not a "Benefit"

by Caroline Fife, M.D. | Oct 12, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

My husband has serious health issues which forced him to retire from medical practice more than a decade ago. When he became eligible for Medicare, someone suggested that he select a Medicare Advantage plan (MA). I said, “Absolutely not.” Yes, we bought an expensive...
Ethical Issues, Standards and Quality Control in the Practice of Hyperbaric Medicine

Ethical Issues, Standards and Quality Control in the Practice of Hyperbaric Medicine

by Caroline Fife, M.D. | Oct 9, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

I’ve been getting requests for the chapter on Ethical Issues in Hyperbaric medicine, published in the 4th Edition of Jain’s Textbook of Hyperbaric Medicine. You can obtain an electronic copy this way: The homepage for Textbook of Hyperbaric Medicine, 4th...
False Accusations and a Web of Deceit – in a DIABETIC FOOT STUDY?

False Accusations and a Web of Deceit – in a DIABETIC FOOT STUDY?

by Caroline Fife, M.D. | Oct 8, 2018 | Fight the Good Fight, Health Information Technology and Wound Care

Is it not even possible to have honesty in MEDICAL RESEARCH? Here is a link to a petition posted by Canadian physician Dr. Kenneth DeDez, about the false data published in Diabetes Care from a study of hyperbaric oxygen therapy (HBOT) in Wagner Grade 2 diabetic foot...
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