Caroline Fife M.D.
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    • Lymphatic Imaging & Lymphedema
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    • My Articles on PRESENT Podiatry
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    • Pressure Cooker: Rethinking Pressure Ulcers
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When is the Last Time You Printed Out and Read a Visit Note From Your EHR?

When is the Last Time You Printed Out and Read a Visit Note From Your EHR?

by Caroline Fife, M.D. | Mar 24, 2023 | Fight the Good Fight, Healthcare Payment Policy

It’s a poorly kept secret that audits of wound care services rendered under the Medicare fee-for-service payment system are so pervasive that I don’t know anyone who is NOT in an audit of some kind. The entire alphabet soup of auditing bodies are at work: TPE,...
Do You Have a Compliant Electronic Health Record Documentation & Signature Process? – Check Out Kathy Shaum’s Newest TWC Article!

Do You Have a Compliant Electronic Health Record Documentation & Signature Process? – Check Out Kathy Shaum’s Newest TWC Article!

by Caroline Fife, M.D. | Mar 23, 2023 | Fight the Good Fight

I am old enough to remember the days of thick paper charts stacked in the hospital medical records department. The medical records department was usually in the basement or some dark corner of the hospital, but would always have plates of cookies and pots of coffee at...
“Again I Can’t Get My Supplies Because of the Lack of Proper Documentation…”

“Again I Can’t Get My Supplies Because of the Lack of Proper Documentation…”

by Caroline Fife, M.D. | Mar 17, 2023 | Uncategorized

I have been raising awareness about the direct link between documentation and surgical dressing supplies – and why DME companies have become so “demanding” in terms of the documentation they need to see. The DME companies have been audited nearly to death by Medicare...
The Patient’s Perspective on Lymphedema Pumps & Compression Wraps – What Should I Say to Her?

The Patient’s Perspective on Lymphedema Pumps & Compression Wraps – What Should I Say to Her?

by Caroline Fife, M.D. | Mar 15, 2023 | Uncategorized

I got yet another email from a patient about her experience in a wound center. She’s got many complex medical problems, but she’s a retired nurse and has a good sense of what works to heal her recurrent lower extremity ulcers. She’s wheelchair bound but manages to...
The Glycocalyx: What it is and Why it Matters

The Glycocalyx: What it is and Why it Matters

by Caroline Fife, M.D. | Mar 10, 2023 | Fight the Good Fight

My friend and colleague, Dr. Mark Melin has been talking a lot about the endothelial glycocalyx (GCX) and why it matters to patients with lympho-venous disease and chronic ulceration. I’d been smiling and nodding, pretending that I understood what he was talking...
A Practical Approach to HBOT for Long COVID

A Practical Approach to HBOT for Long COVID

by Caroline Fife, M.D. | Mar 3, 2023 | COVID-19, COVID-19 & HBOT

Like me, you were probably riveted and inspired by the “COVID Diaries,” which chronicled the challenges of an intensive care doctor during the early and worst days of the COVID pandemic. The author is now focused on the subacute care of the survivors and is...
The Link Between Clinical Documentation and DME Orders for Dressings

The Link Between Clinical Documentation and DME Orders for Dressings

by Caroline Fife, M.D. | Feb 27, 2023 | Healthcare Payment Policy

A few days ago, I got one of those CMS “eblasts” about the results of Medicare CERT audits (Comprehensive Error Rate Testing).  The audit looks at whether there is sufficient documentation to back up the claim against Medicare. In 2021, CMS estimated that, based on...
Daily “Higher Dose” Vitamin D May Help Delay Diabetes

Daily “Higher Dose” Vitamin D May Help Delay Diabetes

by Caroline Fife, M.D. | Feb 16, 2023 | Nutrition & Wound Healing

This month (Feb 2023) Pittas and colleagues from Tufts published a systematic review article article in Annals of Internal Medicine about the possible value of Vitamin D in delaying diabetes onset (“Vitamin D and Risk for Type 2 Diabetes in People With Prediabetes A...
Addressing Both the What and the Why of Clinical Documentation

Addressing Both the What and the Why of Clinical Documentation

by Caroline Fife, M.D. | Feb 13, 2023 | COVID-19, Healthcare Payment Policy

I got an email from a fantastic wound clinic manager who is worried about the less than stellar documentation she’s noted on the part of her advanced practitioners. She’s trying to raise the bar on wound care documentation and asked me how best to do that. That’s a...
Check Out Laura Kaiser’s TWC Article, “Home-Based Wound Care: Insights on Challenges and Rewards”

Check Out Laura Kaiser’s TWC Article, “Home-Based Wound Care: Insights on Challenges and Rewards”

by Caroline Fife, M.D. | Feb 9, 2023 | Fight the Good Fight

https://www.hmpgloballearningnetwork.com/site/twc/home-based-wound-care-insights-challenges-and-rewards Advanced Practice nurse Laura Kaiser has just published an article in Today’s Wound Clinic entitled “Home-Based Wound Care: Insights on Challenges and Rewards.” It...
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Recent Articles

  • When is the Last Time You Printed Out and Read a Visit Note From Your EHR? March 24, 2023
  • Do You Have a Compliant Electronic Health Record Documentation & Signature Process? – Check Out Kathy Shaum’s Newest TWC Article! March 23, 2023
  • “Again I Can’t Get My Supplies Because of the Lack of Proper Documentation…” March 17, 2023
  • The Patient’s Perspective on Lymphedema Pumps & Compression Wraps – What Should I Say to Her? March 15, 2023
  • The Glycocalyx: What it is and Why it Matters March 10, 2023

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