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...
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...
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...
by Caroline Fife, M.D. | Oct 25, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight, Quiz / Survey
Create your own user feedback survey 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 Youtube channel...
by Caroline Fife, M.D. | Oct 15, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
It has taken months for me to understand that the immediate threat from CTP/skin sub over/improper use is to Accountable Care Organizations (ACOs). I’ve blogged previously about why. An ACO that asked not to be named gave me the following figures around CTP billing in...
by Caroline Fife, M.D. | Oct 10, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
Cellular Tissue Products (CTPs) / skin substitutes are being pitched as part of a “research project” with payments made as a “reward for contributions to the field.” (The reward payments are related to volume and based on the price of the product.) Note that on the...
by Caroline Fife, M.D. | Oct 4, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
On September 18th, 2024, Erica Everhart and Zach Bredl posted an article on the Care Journey website about the impact of fraud and abuse in value-based care. Spending on CTPs/skin subs is not the only fraud problem faced by Accountable Care Organizations (ACOs),...
by Caroline Fife, M.D. | Oct 2, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, CTP / Skin Substitutes
I’ve discussed the fact that nearly everyone is being audited by Medicare on their charges for Cellular Tissue Products (CTP’s) / Skin Substitutes. Depending on the type of audit, a practitioner can have to pay back not only the money they received for the...
by Caroline Fife, M.D. | Sep 20, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
Some days ago, I asked if it was legal for practitioners to make large profits off the cost of CTPs/skin subs – and the answer seems to be “yes”. Of course, I knew that no reputable attorney was going to send me a considered legal opinion on social media. I am still...
by Caroline Fife, M.D. | Sep 18, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests
Hi Dr. Fife, I’m sure you’re receiving plenty of feedback on this topic, but regarding your question about whether providers can receive discounts on ASP products, I’ve consistently been told the answer is yes… at least, I hope it’s yes—otherwise, we’re all in...
