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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...
Check Out This Amazing Article on “Treating Patients Like People” and HMP’s New Patient Experience Department

Check Out This Amazing Article on “Treating Patients Like People” and HMP’s New Patient Experience Department

by Caroline Fife, M.D. | Feb 3, 2023 | Fight the Good Fight, The Patient's Voice

Morgan McCoy is one of those patients who inspires me. She’s been courageously talking about the experience of her above knee amputation due to a necrotizing infection, and the long journey to healing and function afterwards. Here’s a link to her excellent article...
Constellation Webinar: The X Factor – A Paradigm Shift in Mitigating Severe Pressure Ulcer Malpractice Claims

Constellation Webinar: The X Factor – A Paradigm Shift in Mitigating Severe Pressure Ulcer Malpractice Claims

by Caroline Fife, M.D. | Feb 2, 2023 | Fight the Good Fight

Check out the handout for the Constellation webinar I recently conducted with Monica Cadwick, RN, BSN, LNCC, CPHRM – The X Factor: A Paradigm Shift in Mitigating Severe Pressure Ulcer Malpractice Claims. January 25 2023 Webinar The X Factor A Paradigm Shift in...
The Quality Payment Program and What it Means for the Future of Wound Management & HBOT

The Quality Payment Program and What it Means for the Future of Wound Management & HBOT

by Caroline Fife, M.D. | Feb 2, 2023 | Healthcare Payment Policy, Quality Payment Program

I suspect that most of the people reading this have at some point in their lives, quietly accomplished something that they know to be important but which will largely go unnoticed. Sometimes we do things just because we have to be at peace with the person who looks...
Constellation Webinar: The X Factor – A Paradigm Shift in Mitigating Severe Pressure Ulcer Malpractice Claims

View It for Free: A Paradigm Shift in Mitigating Severe Pressure Ulcer Malpractice Claims

by Caroline Fife, M.D. | Jan 31, 2023 | Fight the Good Fight

Here’s a link to the presentation that I gave with Monica Chadwick for the Constellation Risk Management organization about the vascular origin of severe pressure ulcers — and what that means for malpractice claims.  There was a great discussion afterwards. It’s...
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Wound Care Reimbursements

Recent Articles

  • OIG Calls for Urgent “Skin Substitute” Payment Reform Based on Analysis of Medicare Data September 15, 2025
  • A Follow Up on the “Tale of Two Wounds” and the Madness of Skin Sub Pricing September 12, 2025
  • The Association Between Obstructive Sleep Apnea & Wound Healing: A Systematic Review – PMC September 10, 2025
  • The Article by Attorney David Traskey May Have Saved My Nurse Practitioner Friend – Thank You! September 8, 2025
  • FDA Issues a Letter to Health Care Providers to Follow Instructions for Safe Use of Hyperbaric Oxygen Therapy Devices September 5, 2025

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