by Caroline Fife, M.D. | Oct 9, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight
Check out the entire series here. Dr. Fife, I thought you should see this advertisement for “research” with CTPs/skin subs. It’s not an isolated case. Many of them are doing this where the MACs have cracked down on Rebate programs, particularly in nursing...
by Caroline Fife, M.D. | Oct 5, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Featured
Check out the entire series here. Let’s talk about the column that is NOT discussed in this table (from a manufacturer’s advertisement previously posted), and that is the patient responsible portion. I added a column to represent the patient co-pay if the patient does...
by Caroline Fife, M.D. | Oct 5, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
I’ve collated and summarized the answers to the questions I have been asking. THANK YOU – to everyone who took the time to explain this complex system. This post is long. However, if you want to understand how we got here – you will know when you are done reading....
by Caroline Fife, M.D. | Oct 4, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight
Check out the entire series here. This morning I got an email from a friend and colleague who is one of the best and most ethical wound care practitioners that I know. His letter below points out the problem that started this mess, which is the methodology behind...
by Caroline Fife, M.D. | Oct 4, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
Check out the entire series here. I am getting a lot of comments by folks who feel that they should remain anonymous because otherwise they put their job at risk. I am going to post anonymous comments from people I know well enough to trust. If you want to send me a...
by Caroline Fife, M.D. | Oct 3, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Featured
Check out the entire series here. Here is another example. Feel free to keep sending me examples and I will redact the names of the company and post. Can anyone tell me why no invoice is needed to submit these claims and exactly how these profits are being realized?...
by Caroline Fife, M.D. | Oct 2, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight
I know there is widespread celebration over the fact that 3 MACs have rescinded their Local Coverage Determinations (LCDs) for CTPs/skin subs. There’s no question that there were a LOT of problems with those LCDs. However, the MACs are attempting to manage bad...
by Caroline Fife, M.D. | Nov 4, 2022 | Cellular / Tissue-Based Products, Healthcare Payment Policy
The Centers for Medicare and Medicaid Services (CMS) has issued the final rule for the 2023 Physician Fee schedule CMS IS NOT finalizing the payment approach outlined in the proposed rule in which they proposed to make Cellular and/or tissue-based products (CPTs) part...
by Caroline Fife, M.D. | Sep 14, 2022 | Cellular / Tissue-Based Products, Healthcare Payment Policy
Check out the newest article about CMS NEWS in Today’s Wound Clinic – “Could Proposed Policy Changes in the 2023 Physician Fee Schedule Increase Amputations and Infections in Patients With Wounds?” by Marcia Nusgart, RPh. The Alliance of Wound Care Stakeholders is...
by Caroline Fife, M.D. | Aug 10, 2022 | Cellular / Tissue-Based Products, Healthcare Payment Policy
I’ve previously posted information about the sweeping changes to office-based payment of Cellular and/or Tissue-Based Products (CTPs) recently proposed the Centers for Medicare and Medicaid Services (CMS). Office-based physicians will no longer be separately...
