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Waivers for the Texas Controlled Substance Electronic Prescribing Requirement

Waivers for the Texas Controlled Substance Electronic Prescribing Requirement

by Caroline Fife, M.D. | Jan 6, 2021 | Healthcare Payment Policy

Effective January 1, 2021, Texas Health and Safety Code, §§481.0755 requires that prescriptions for controlled substances to be issued electronically unless a waiver has been granted by the appropriate agency. I have been using electronic prescribing for several...
New (Bad) COVID-19 Developments

New (Bad) COVID-19 Developments

by Caroline Fife, M.D. | Jan 5, 2021 | COVID-19, Dr. Marissa Carter

Here is a new and disheartening post from Dr. Marissa Carter about the new COVID-19 variant (see her previous posts about COVID-19). –Caroline The new SARS-Cov2 b117 variant is worse than we thought. Not only is it more infectious, but infections are associated...
Private Payer Policy Blunders: What Should We Do?

Private Payer Policy Blunders: What Should We Do?

by Caroline Fife, M.D. | Jan 5, 2021 | Healthcare Payment Policy

Dr. Helen Gelly sent me the statement below from Blue Cross Blue Shield of Alabama (BCBSAL) as it pertains to considerations regarding Hyperbaric Oxygen Therapy: Menstruation: There is a great risk for decompression illness in the early phase of the menstrual cycle....
COVID-19 Vaccination Rollout in Texas

COVID-19 Vaccination Rollout in Texas

by Caroline Fife, M.D. | Jan 4, 2021 | COVID-19, Obesity & Wound Care

My clinic is starting this morning. That means I have to get my temperature taken, don my protective equipment and attempt to deliver care to patients whose expressions I can’t see and who can’t understand what I am saying through a mask. I also need extra time to...
My Christmas Gift – The First Dose of the COVID Vaccine

My Christmas Gift – The First Dose of the COVID Vaccine

by Caroline Fife, M.D. | Dec 28, 2020 | COVID-19, Dr. Marissa Carter

Here I am, getting the first dose of the Moderna COVID vaccine. In future posts I’ll provide more information about the trial data (courtesy of Dr. Carter) and any other information I get my hands on that might be useful. What I hope is happening right now is that my...
Hospital-Based Outpatient “Wound Centers” Must Identify the Physician Supervising Today’s Visit

Hospital-Based Outpatient “Wound Centers” Must Identify the Physician Supervising Today’s Visit

by Caroline Fife, M.D. | Dec 16, 2020 | Healthcare Payment Policy

It’s time to revisit the issue of the relationship of the physician to the hospital-based outpatient department (HOPD), the “site of service” for many wound care programs. The issue is confusing, I agree. More and more wound management is being done in doctor’s...
The News Keeps Getting Better: COVID-19 and Erectile Dysfunction

The News Keeps Getting Better: COVID-19 and Erectile Dysfunction

by Caroline Fife, M.D. | Dec 15, 2020 | COVID-19, COVID-19 & HBOT

It’s no surprise that male sexual function is negatively affected after COVID-19, since that’s an often-ignored problem after many serious medical events. The potential mechanism with regard to COVID-19 is interesting and has some worrisome implications for other...
New Post: Pfizer’s SARS-Cov2 Vaccine – Questions & Answers

New Post: Pfizer’s SARS-Cov2 Vaccine – Questions & Answers

by Caroline Fife, M.D. | Dec 14, 2020 | COVID-19, Dr. Marissa Carter

Dr. Marissa Carter has a new post about Pfizer’s mRNA COVID vaccine approval, which includes a long list of questions and answers. I have sent her my “wish list” for additional vaccine related articles! –Caroline Caroline Fife, M.D.Dr. Fife is a world renowned...
Vitamin D Insufficiency and Death from COVID-19… And Why a Math Error Means We Don’t Take Enough Vitamin D

Vitamin D Insufficiency and Death from COVID-19… And Why a Math Error Means We Don’t Take Enough Vitamin D

by Caroline Fife, M.D. | Dec 11, 2020 | COVID-19, Nutrition & Wound Healing

I’ve talked a lot about the importance of having a Vitamin-D-OH level of at least 30 ng/ml for wound healing. The majority of my patients with non-healing wounds have Vitamin D-OH levels less than 30 ng/ml, even though most of them are taking supplemental vitamin D....
Information on the Physician Fee Schedule Final Rule

Information on the Physician Fee Schedule Final Rule

by Caroline Fife, M.D. | Dec 10, 2020 | Healthcare Payment Policy, Quality Payment Program

Here are links to information regarding the Physicians Fee Schedule final rule: Final Rule Physician Fee Schedule Final Rule fact sheet Quality Payment Program Final Rule fact sheet and FAQs Here are the Physician Fee Schedule files:...
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