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Role Reversal – When the Doctor is the Patient

Role Reversal – When the Doctor is the Patient

by Caroline Fife, M.D. | Dec 11, 2023 | Fight the Good Fight

The day after Thanksgiving, I underwent an emergency laparotomy for an internal herniation of the small bowel. I haven’t made a secret of the fact that I had weight loss surgery about 18 years ago. A “Peterson’s internal hernia” is a rare but known complication of...
CMS Reasons for Denial of Hyperbaric Oxygen Therapy – Check Out What’s Required in Your Medical Record

CMS Reasons for Denial of Hyperbaric Oxygen Therapy – Check Out What’s Required in Your Medical Record

by Caroline Fife, M.D. | Dec 8, 2023 | Fight the Good Fight, Medicare Audits

This is part of my series of articles about Useful Information on Medicare Audits. Here are the “reasons for denial” codes for hyperbaric oxygen therapy posted on the Palmetto website. Although they are posted on the Palmetto website, these come from CMS and thus are...
Thoughts on How to Fix the Cellular Tissue Product (CTP) / Skin Substitute Crisis

Thoughts on How to Fix the Cellular Tissue Product (CTP) / Skin Substitute Crisis

by Caroline Fife, M.D. | Dec 7, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes

(Including How to Make it More Equitable for Practitioners & Patients) I got this thoughtful email from Dr. Timothy Johnson with a list of practical suggestions to help fix the broken system around CTPs/skin subs. He has given me permission to post his comments....
Noridian: Here’s Their Hyperbaric Oxygen Checklist

Noridian: Here’s Their Hyperbaric Oxygen Checklist

by Caroline Fife, M.D. | Dec 5, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy, Medicare Audits

This is part of my series of articles about Useful Information on Medicare Audits. Noridian is the MAC for Medicare A/B of: Region E: California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands Region F: Alaska, Arizona, Idaho, Montana, North Dakota,...
‍‍Urgent: We Need Your Help to Stop a 41% Cut in Medicare Reimbursement for Hyperbaric Oxygen Therapy (HBOT) in 2024

‍‍Urgent: We Need Your Help to Stop a 41% Cut in Medicare Reimbursement for Hyperbaric Oxygen Therapy (HBOT) in 2024

by Caroline Fife, M.D. | Dec 1, 2023 | Fight the Good Fight, Hyperbaric Oxygen Therapy

The Undersea and Hyperbaric Medical Society (UHMS) working in collaboration with the Alliance of Wound Care Stakeholders and many other organizations is asking for your help to stop the proposed drastic cut in facility fees for hyperbaric oxygen therapy. Please follow...
Medical Student Survey: Risks and Prevention of Barotrauma in Hyperbaric Facilities

Medical Student Survey: Risks and Prevention of Barotrauma in Hyperbaric Facilities

by Caroline Fife, M.D. | Nov 30, 2023 | Fight the Good Fight

Check out this Medical Student Survey: Risks and Prevention of Barotrauma in Hyperbaric Facilities by the Undersea & Hyperbaric Medical Society. Please submit your response latest by February 1, 2024. Thank you so much for your contributions and volunteerism!...
‘Tis the Season for (Bad) Surprises with Hyperbaric Oxygen Therapy – Guest Blog by Helen Gelly, MD

‘Tis the Season for (Bad) Surprises with Hyperbaric Oxygen Therapy – Guest Blog by Helen Gelly, MD

by Caroline Fife, M.D. | Nov 29, 2023 | Dr. Helen Gelly, Hyperbaric Oxygen Therapy

Tis the season for surprises, but not all of them are joyous, and some are downright disasters. Unfortunately, the surprise CMS dropped in November cannot be passed on at your next white elephant holiday party. There have been a lot of questions and angst surrounding...
Palmetto Results for Provider Specific Probe: July Through September 2022

Palmetto Results for Provider Specific Probe: July Through September 2022

by Caroline Fife, M.D. | Nov 27, 2023 | Featured, Medicare Audits

I am posting a series of articles with information directly from the websites of the various MACs. Anyone can access this information so I feel a little silly posting it, but several clinicians have told me about audits they are undergoing and they had not paid...
What Most People Want for Christmas is to Lose Weight

What Most People Want for Christmas is to Lose Weight

by Caroline Fife, M.D. | Nov 22, 2023 | Fight the Good Fight, Miscellaneous Musings

It’s the holidays so most people can expect to watch the scales move up. A WebMD article about holiday weight gain suggests that the problem is not that people gain a lot of weight during the holiday season but that they gain a little every holiday season —...
Palmetto and Hyperbaric Oxygen Therapy – Educational Materials

Palmetto and Hyperbaric Oxygen Therapy – Educational Materials

by Caroline Fife, M.D. | Nov 21, 2023 | Fight the Good Fight, Medicare Audits

This is part of my series of articles about Useful Information on Medicare Audits. Palmetto is the MAC for: Region J: Alabama, Georgia, Tennessee (Region J) Region M: North Carolina, South Carolina, Virginia, West Virginia (excludes Part B for the counties of...
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Recent Articles

  • Pyoderma Gangrenosum Nonprofit Kickoff Meetings “ALL THINGS PG” October 1, 2025
  • The Antikickback Statute (AKS), Skin Substitute Pricing & “Selling the Spread” – Guest Blog by David Traskey September 26, 2025
  • Is Wound Healing the Only Metric That Counts? A Guest Blog from Nurse Practitioner Jenny Hurlow September 24, 2025
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