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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...
CMS Launches the Fraud Detection Operation Center (FDOC)

CMS Launches the Fraud Detection Operation Center (FDOC)

by Caroline Fife, M.D. | May 7, 2025 | Healthcare Payment Policy

Fierce Healthcare has reported that The Centers for Medicare & Medicaid Services (CMS) launched the Fraud Detection Operation Center (FDOC) to fight waste, fraud, and abuse. The “fraud War Room” is a real-time operations center which leverages the Fraud Prevention...
Letter about Cellular Tissue Products / Skin Substitutes Used on Pressure Ulcers

Letter about Cellular Tissue Products / Skin Substitutes Used on Pressure Ulcers

by Caroline Fife, M.D. | Apr 28, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, The Patient's Voice

I just got this letter by email from a physician emphasizing (in addition to the ethical issues) the need for clinical studies of Cellular Tissue Products / Skin Substitutes on pressure ulcers. Thoughts anyone? –Caroline Dear Dr. Fife, I am writing to express a...
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Wound Care Reimbursements

Recent Articles

  • BREAKING NEWS! 2026 MPFS Proposed Rule Sets Single Payment Amount for all “Skin Substitutes” at $125.38/cm2 July 15, 2025
  • Pressure Injury: a Hospital Harm Measure in 2025 that Includes STAGE 2 Pressure Ulcers – This is Out of Control July 14, 2025
  • BREAKING: Another Fatal Hyperbaric Chamber Fire July 11, 2025
  • CMS Prepares to Launch a Prior Authorization Model for “Skin Substitutes” in Traditional Medicare as Part of the WISeR Initiative July 11, 2025
  • 2023 QPP Performance Data are Out: 14.56% of Practitioners Will See a Penalty in Their 2025 Medicare Payments July 9, 2025

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