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“We Will All Lose in the End.” Let’s Discuss the Moral Hazard of the CTP (Skin Substitute) Industry

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...
If You Wonder Why CMS is Looking at Skin Subs, Check Out These Claims…

If You Wonder Why CMS is Looking at Skin Subs, Check Out These Claims…

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?...
CTP/Skin Sub Ads to Doctors – Am I the ONLY Person Who Thinks There’s Something Wrong?

CTP/Skin Sub Ads to Doctors – Am I the ONLY Person Who Thinks There’s Something Wrong?

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I know there is widespread celebration over the fact that 3 MACs have rescinded their Local Coverage Determinations (LCDs) for CTPs/skin subs.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...
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Wound Care Reimbursements

Recent Articles

  • The Paul Brand Award Lecture: The Journey Toward Data-Driven Wound Care December 17, 2025
  • BREAKING NEWS! CTP / Skin Graft LCDs to be Effective January 1, 2026 – See CMS Fact Sheet December 16, 2025
  • Skin Substitute Payment Reform: Some “Thankfuls” Around the New Payment Structure December 10, 2025
  • Vohra Wound Physicians and Owner Agree to Pay $45 Million to Settle Fraud Allegations Around Overbilling December 2, 2025
  • The Incredible Journey: Lessons Learned from a Skin Substitute Graft Audit (Part Three) November 20, 2025

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