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Site Neutrality – a Looming Disaster or an Opportunity?

Site Neutrality – a Looming Disaster or an Opportunity?

by Caroline Fife, M.D. | Jun 5, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight, Healthcare Payment Policy

There’s a new article in Health Affairs about “site neutral” payments that could change everything for hospital-based outpatient departments – and by that, I mean, possibly end them. However, I have been wrong about this threat for more than a decade – which means...
Well-Known Wound Care Practitioner Jay Shah, President of the Texas Medical Association “Let Doctors be Doctors” Podcast

Well-Known Wound Care Practitioner Jay Shah, President of the Texas Medical Association “Let Doctors be Doctors” Podcast

by Caroline Fife, M.D. | Jun 4, 2025 | Fight the Good Fight

Dr. Jay Shah is a well-known wound care practitioner, and he is now the President of the Texas Medical Association (TMA). Being active in organized medicine is a sacrifice. I am grateful and excited that a wound care practitioner holds a position of such influence!...
Thank You to the WOCN for Asking Me to Provide an Update on the “Skin Substitute” Market!

Thank You to the WOCN for Asking Me to Provide an Update on the “Skin Substitute” Market!

by Caroline Fife, M.D. | Jun 2, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes

I had a great time speaking at the WOCN conference in Orlando! I was asked to provide an update on “Skin Substitutes.” I will give you a few highlights from the talk. I reviewed the reasons we need skin substitutes, such as the huge percentage of patients suffering...
CMS Suspends 8 MIPS Improvement Activities

CMS Suspends 8 MIPS Improvement Activities

by Caroline Fife, M.D. | May 30, 2025 | Healthcare Payment Policy

I know you love reading about the Merit Based Incentive Payment System (MIPS) as much as I love writing about it… However, MIPS now matters to a lot more practitioners as wound care transitions into the office-based/mobile setting. (I will make a mental note to...
How a Medicare MAC Views the Role of Real World Evidence in Coverage Policy

How a Medicare MAC Views the Role of Real World Evidence in Coverage Policy

by Caroline Fife, M.D. | May 28, 2025 | Fight the Good Fight, SAWC

At the recent SAWC, the Alliance of Wound Care Stakeholders hosted Dr. Anitra Graves, the Medical Director for First Coast. Dr. Graves gave a fantastic presentation on the use of real-world data in Medicare coverage policy. I thought I’d provide some of the notes that...
If I Were Queen I Would Fix These Six Stupid Things in Wound Care

If I Were Queen I Would Fix These Six Stupid Things in Wound Care

by Caroline Fife, M.D. | May 21, 2025 | Fight the Good Fight, If I Were Queen

In the 30+ years I’ve been taking care of patients with chronic wounds, I’ve given a lot of thought to the things that are covered by Medicare and other payers (some of which, frankly, don’t work very well) vs. the things that are NOT covered,  but work...
Why Patients with Vasculitis and Pyoderma Gangrenosum Don’t Get Pain Management and the MATE Act

Why Patients with Vasculitis and Pyoderma Gangrenosum Don’t Get Pain Management and the MATE Act

by Caroline Fife, M.D. | May 19, 2025 | Pyoderma Gangrenosum

I felt guilty the day I decided I could no longer prescribe opioid pain medications to patients with severely painful wounds. I didn’t prescribe narcotics very often since that’s a bad way to treat any chronic pain, but it is sometimes necessary in acute vasculitis...
DOJ Unveils a New Corporate Enforcement & Voluntary Self-Disclosure Policy (CEP)

DOJ Unveils a New Corporate Enforcement & Voluntary Self-Disclosure Policy (CEP)

by Caroline Fife, M.D. | May 16, 2025 | Fight the Good Fight

This week, the Head of the Justice Department’s Criminal Division, Matthew R. Galeotti, delivered remarks at an Anti-Money Laundering and Financial Crimes Conference, announcing that the DOJ’s Criminal Division was “turning a new page on white-collar and corporate...
Dr. Lisa Gould: Combining Classical Guitar & Wound Care

Dr. Lisa Gould: Combining Classical Guitar & Wound Care

by Caroline Fife, M.D. | May 12, 2025 | Miscellaneous Musings

Most of us know Dr. Lisa Gould as a skilled plastic surgeon and prolific wound care researcher and lecturer. However, I learned something else about her recently. Dr. Gould is also a classical guitarist, and she combines her skill as a musician with her skill as a...
Tell Me Your Story – The Undaunted Spirit of Patients with Chronic Wounds

Tell Me Your Story – The Undaunted Spirit of Patients with Chronic Wounds

by Caroline Fife, M.D. | May 9, 2025 | The Patient's Voice

Patients have humbled and inspired me for decades. There’s a story that I have told few people, but more than 25 years ago, my daughter had a serious health crisis that shook my world. After taking 3 months off trying to find a way forward for her and our family, on...
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Wound Care Reimbursements

Recent Articles

  • BREAKING NEWS in the DOJ Press Conference! More Skin Substitute / Cellular Tissue Product (CTP) Fraud Indictments June 30, 2025
  • Houston Podiatrist and Business Partner Charged with $45 Million in Healthcare Fraud Related to “Skin Substitutes” June 27, 2025
  • Cellular Tissue Product (CTP) / Skin Substitute Market Update by SmartTRAK June 25, 2025
  • A Ruptured Appendix and a Broken System June 23, 2025
  • Must Wound Clinics & Mobile Practitioners Report Pressure Injuries / Ulcers Occurring in the Home as SREs? June 20, 2025

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