by Caroline Fife, M.D. | Jan 25, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
CMS has indeed delayed the implementation date for the Skin Substitute Grafts/ Cellular and Tissue-Based Products (CTP) for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers LCDs from 2/12/25 to 4/13/25. The policies on the CMS website are now...
by Caroline Fife, M.D. | Jan 22, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
There are rumors swirling that President Trump’s Executive Order (EO) which freezes pending federal regulations and guidance documents will stop the implementation of the LCD(s). I have no inside information about this, but the issue is far from certain. The EO...
by Caroline Fife, M.D. | Dec 20, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
On December 10th, the Medicare Administrative Contactors (MACs) held a virtual Town Hall meeting to discuss Local Coverage Determination (LCD) for Skin Substitutes / Cellular Tissue Products that goes into effect on February 12, 2025. The MAC medical directors spent...
by Caroline Fife, M.D. | Dec 18, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
The Department of Justice (DOJ) released its annual report on fraud and abuse for the 2023 fiscal year. The lengthy report includes one account related to CTPs/skin subs which I mentioned in a previous blog when it happened. A Beverly Hills, California, plastic...
by Caroline Fife, M.D. | Dec 16, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, The Patient's Voice
This email inquiry is from a real patient who is a retired nurse. I can answer some of her questions but not all of them, particularly the ones around when a patient might be required to sign an ABN for skin subs. I will post any helpful answers that you send...
by Caroline Fife, M.D. | Dec 12, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
Health and Human Services (HHS) announced Active Work Plan items (e.g., OIG audits, evaluations, and inspections) that are underway or planned over the next 2 years. Investigations regarding various aspects of “skin substitute” use are on the list along with the...
by Caroline Fife, M.D. | Dec 2, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
Recently someone passed on what a clinician had told them about the Cellular Tissue Products / Skin Substitutes that they were using. The clinician said they were not worried about being paid for a particular product because it had an established ASP (Average Sales...
by Caroline Fife, M.D. | Nov 25, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Health Information Technology and Wound Care
You should read the entire LCD, because there is a lot to unpack. I will tackle various topics over the next several weeks, but here’s the list of covered and not-covered CTPs/skin subs for diabetic foot ulcers (DFUs) and Venous Leg Ulcers (VLUs). When will the...
by Caroline Fife, M.D. | Nov 22, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
On 12/10/2024, CGS (Cigna Government Contractors) will host a multi-jurisdictional Town Hall meeting to discuss the recently released final LCD(s) for Skin Substitute Grafts/Cellular and Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg...
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...
