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The High Cost of Playing Documentation Defense Against Medicare Audits

The High Cost of Playing Documentation Defense Against Medicare Audits

by Caroline Fife, M.D. | Nov 18, 2024 | Fight the Good Fight

Attorney Knicole Emanuel recently blogged about Medicare audits. It’s a good news/bad news story. The good news is that a physician who was determined by an auditor to have been “over paid” by $5 million ended up owing NOTHING. The bad news is that the cost of taking...
Vitamin D Deficiency and Pediatric Obstructive Sleep Apnea Severity

Vitamin D Deficiency and Pediatric Obstructive Sleep Apnea Severity

by Caroline Fife, M.D. | Nov 15, 2024 | Fight the Good Fight

I blog so much about the importance of checking and supplementing wound care patients with Vitamin D, that’s it’s probably getting old. However, I just can’t help myself. This is one of the few problems that is simple and cheap to fix. In addition to the fact that low...
Breaking News! LCDs for Cellular Tissue Products / Skin Substitutes Released!

Breaking News! LCDs for Cellular Tissue Products / Skin Substitutes Released!

by Caroline Fife, M.D. | Nov 14, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes

Read them here (more to come): LCD Cellular Tissue Products View on CMS Website Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog at CarolineFifeMD.com and my...
GLP-1 RAs and Their Possible Use for Addiction and Inflammatory Conditions?

GLP-1 RAs and Their Possible Use for Addiction and Inflammatory Conditions?

by Caroline Fife, M.D. | Nov 13, 2024 | Fight the Good Fight, Nutrition & Wound Healing

I have no affiliation with any pharmaceutical company, and I continue to be cautious about the Glucagon-like peptide receptor agonist (GLP-1 RA) craze. However, I am paying attention to this family of drugs because for more than three decades I have watched with a...
Remembering the Veterans In My Life

Remembering the Veterans In My Life

by Caroline Fife, M.D. | Nov 11, 2024 | Miscellaneous Musings

Today I am thinking of the veterans in my life with gratitude. I’m donating to my favorite Veteran’s organization today, in honor of these two men. –Caroline     Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to...
The Federation of State Medical Boards (FSMB) Adopts New Recommendations for Treating Pain

The Federation of State Medical Boards (FSMB) Adopts New Recommendations for Treating Pain

by Caroline Fife, M.D. | Nov 11, 2024 | Fight the Good Fight

As anyone knows who has had surgery recently, you can nearly forget about getting a prescription for even short-term use of narcotics. These restrictions developed in response to a national opioid crisis that continues to decimate many areas of the country....
CMS Releases the Medicare Physician Fee Schedule Final Rule for 2025

CMS Releases the Medicare Physician Fee Schedule Final Rule for 2025

by Caroline Fife, M.D. | Nov 6, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes

CMS has published the final rule for the CY2025 Medicare Physician Fee Schedule (MPFS). As we knew from the proposed rule, there are no major changes in the payment for Cellular Tissue Products (CTPs) / skin substitutes in 2025 — although CMS stated they the...
The Body Roundness Index – a Better Way to Understand Obesity Than BMI?

The Body Roundness Index – a Better Way to Understand Obesity Than BMI?

by Caroline Fife, M.D. | Nov 4, 2024 | Fight the Good Fight

There’s a new concept for calculating obesity called the Body Roundness Index (BRI), which may be a more accurate way to understand obesity and healthcare risk than the Body Mass Index (BMI). That’s because visceral obesity is an important risk factor associated with...
Elevated BMI Associated With an Increased Risk of “Long COVID”

Elevated BMI Associated With an Increased Risk of “Long COVID”

by Caroline Fife, M.D. | Nov 4, 2024 | COVID-19, Fight the Good Fight

A large retrospective study just published in JAMA Open Network suggests that elevated body mass index (BMI) in both children and young adults was associated with an increased risk of post-acute sequelae of SARS-CoV-2 infection (PASC), or long COVID. This study is...
The Results Are In! What Are Ideal Attributes for a CTP / Skin Sub?

The Results Are In! What Are Ideal Attributes for a CTP / Skin Sub?

by Caroline Fife, M.D. | Oct 31, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight, Quiz / Survey

The results are in! Given similar efficacy and/or effectiveness among a group of CTPs/skin subs, the ideal choice for a patient would be: A. The most expensive one. B. The one with the highest patient copay. C. The one that requires the most applications to be...
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Recent Articles

  • CMS Suspends 8 MIPS Improvement Activities May 30, 2025
  • How a Medicare MAC Views the Role of Real World Evidence in Coverage Policy May 28, 2025
  • If I Were Queen I Would Fix These Six Stupid Things in Wound Care May 21, 2025
  • Why Patients with Vasculitis and Pyoderma Gangrenosum Don’t Get Pain Management and the MATE Act May 19, 2025
  • DOJ Unveils a New Corporate Enforcement & Voluntary Self-Disclosure Policy (CEP) May 16, 2025

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