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Fresno County Podiatrist and “Skin Substitute” Sales Representative Plead Guilty to False Claims

Fresno County Podiatrist and “Skin Substitute” Sales Representative Plead Guilty to False Claims

by Caroline Fife, M.D. | Oct 13, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes

Eastern District of California | Fresno County Podiatrist and Sales Representative Plead Guilty to Conspiracy to Submit False Claims Related to Skin Grafts | United States Department of Justice US Attorney Eric Grant has announced that Felipe Ruiz, a podiatrist at...
Pyoderma Gangrenosum Nonprofit Kickoff Meetings “ALL THINGS PG”

Pyoderma Gangrenosum Nonprofit Kickoff Meetings “ALL THINGS PG”

by Caroline Fife, M.D. | Oct 1, 2025 | Pyoderma Gangrenosum

At last, something to help our patients with PG! There is a new, non-profit Patient and Family Advisory Council for PG and the kickoff meetings will take place on October 1 and October 7. This is a resource for practitioners, as well. Any provider or caregiver is...
The Antikickback Statute (AKS), Skin Substitute Pricing & “Selling the Spread” – Guest Blog by David Traskey

The Antikickback Statute (AKS), Skin Substitute Pricing & “Selling the Spread” – Guest Blog by David Traskey

by Caroline Fife, M.D. | Sep 26, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes

For the past 3 years I have been watching the “skin substitute” industry and asking what I thought were simple questions about pricing, payments, and the legality of things like “selling the spread.” I have been worried about the possibility that unwary...
Is Wound Healing the Only Metric That Counts? A Guest Blog from Nurse Practitioner Jenny Hurlow

Is Wound Healing the Only Metric That Counts? A Guest Blog from Nurse Practitioner Jenny Hurlow

by Caroline Fife, M.D. | Sep 24, 2025 | Fight the Good Fight

My favorite book as a child was The Emperor’s New Clothes. I was fascinated by the idea that a large group of people would “go along” with something that was obviously not true based on what they could easily see with their own eyes. I often think of that story when I...
Watch My Webinar on Defending Pressure Ulcer Cases – Free From Curi!

Watch My Webinar on Defending Pressure Ulcer Cases – Free From Curi!

by Caroline Fife, M.D. | Sep 19, 2025 | Pressure Cooker: Rethinking Pressure Ulcers

Hospitals, nursing homes, and other institutions are often blamed for medically unpreventable pressure ulcers which began as tissue infarctions linked to hemodynamic factors in very sick patients. The companies that ensure these institutions are tired of paying...
Poll: At Least 12% of US Adults Have Taken a GLP-1 Drug

Poll: At Least 12% of US Adults Have Taken a GLP-1 Drug

by Caroline Fife, M.D. | Sep 17, 2025 | Fight the Good Fight, Obesity & Wound Care

I have been paying close attention to the news about glucagon-like peptide 1 (GLP-1) agonist medications because they may provide a ray of hope for many patients with chronic wounds – over 60% of whom are obese and nearly half of whom have diabetes. However, I also...
OIG Calls for Urgent “Skin Substitute” Payment Reform Based on Analysis of Medicare Data

OIG Calls for Urgent “Skin Substitute” Payment Reform Based on Analysis of Medicare Data

by Caroline Fife, M.D. | Sep 15, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes

The Office of the Inspector General (OIG) has just released a report on Medicare claims for “Skin Substitutes”. OIG analyzed Medicare Part B claims data, Medicare Advantage claims data, and manufacturer-reported sales data for skin substitutes in 2023 and 2024....
A Follow Up on the “Tale of Two Wounds” and the Madness of Skin Sub Pricing

A Follow Up on the “Tale of Two Wounds” and the Madness of Skin Sub Pricing

by Caroline Fife, M.D. | Sep 12, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes

Dr. Fife, I wanted to provide some follow up on the “Tale of Two Wounds”. Eventually, Wound #1 cost Medicare (and the taxpayer) almost half a million dollars whereas Wound #2 cost less than 1% of that. And since the patient is responsible for 20% of those Medicare...
The Association Between Obstructive Sleep Apnea & Wound Healing: A Systematic Review – PMC

The Association Between Obstructive Sleep Apnea & Wound Healing: A Systematic Review – PMC

by Caroline Fife, M.D. | Sep 10, 2025 | Fight the Good Fight

Thank you to my friend Irene Waldridge for sending me this article about sleep apnea and wound healing which I had missed!  “A total of 11 cohort studies and 1 case–control study with a total of 58,198,463 subjects were included. Most studies suggest that...
The Article by Attorney David Traskey May Have Saved My Nurse Practitioner Friend – Thank You!

The Article by Attorney David Traskey May Have Saved My Nurse Practitioner Friend – Thank You!

by Caroline Fife, M.D. | Sep 8, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes

Dr. Fife, Your articles on skin subs are so helpful. An old coworker of mine called to ask me about the wound care Nurse Practitioner jobs she had seen advertised about applying skin subs. The company did a video interview with her, telling her how much money she...
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Recent Articles

  • Here Comes the Judge! Part 2 of the Incredible Journey of a Skin Substitute Audit – Guest Blog by Michael Crouch November 17, 2025
  • Skin Substitute / Cellular Tissue Product (CTP) Pricing and a Path Forward November 5, 2025
  • One of Your Letters: UPIC Denies Everything Without Reading the Chart November 3, 2025
  • Breaking news! Cellular Tissue Products (CTPs) / CAMPS to be Paid at $127.28/cm2 November 1, 2025
  • Check Out the Editorial in Med Page Today: 2 Doctors Concerned About Improper Use of Skin Substitutes October 29, 2025

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