Caroline Fife M.D.
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  • Categories
    • Lymphatic Imaging & Lymphedema
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    • Do the Right Thing: Thoughts on Quality
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    • My Articles on PRESENT Podiatry
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    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
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The 20th Anniversary of Malpractice Reform in Texas – and the Perverse Impact on Pressure Ulcer Litigation

The 20th Anniversary of Malpractice Reform in Texas – and the Perverse Impact on Pressure Ulcer Litigation

by Caroline Fife, M.D. | Sep 14, 2023 | Fight the Good Fight

Twenty years ago, my husband, a busy Ob/Gyn, reached the point that he was not able to pay his malpractice premium (six figures) and his office staff – much less take home any income. One evening we discussed whether he was going to have to quit practicing Obstetrics...
The Kafkaesque Challenge of Medicare Advantage Prior Authorization

The Kafkaesque Challenge of Medicare Advantage Prior Authorization

by Caroline Fife, M.D. | Sep 13, 2023 | Fight the Good Fight

Franz Kafka was a Czech-born writer whose fictional stories depict nightmarish settings in which characters are crushed by nonsensical, blind authority.  “Kafkaesque” is a term often applied to bizarre administrative situations that can’t be resolved with logical...
Did You Know That There is a National 988 Suicide Prevention Lifeline?

Did You Know That There is a National 988 Suicide Prevention Lifeline?

by Caroline Fife, M.D. | Sep 12, 2023 | Fight the Good Fight

The 988 National Suicide Prevention Lifeline allows people to get help via phone, text, or online chat for any mental health-related distress. It was launched in 2022, but most Americans don’t yet know it exists. Despite the low level of awareness about this resource,...
The Realities of Chronic Wound Research – Check Out the Podcast & News Article

The Realities of Chronic Wound Research – Check Out the Podcast & News Article

by Caroline Fife, M.D. | Sep 6, 2023 | Fight the Good Fight

There is a huge disconnect between “real world” wounds (and the patients who have them) and those studied in clinical trials. This disconnect means that the treatments developed may not work for the patients who need them most, and it is used as an excuse for payers...
HBOT Facility Payments are Under Attack (Physician Supervision is Next…)

HBOT Facility Payments are Under Attack (Physician Supervision is Next…)

by Caroline Fife, M.D. | Sep 5, 2023 | Fight the Good Fight

This blog post is directed at all physicians and allied health professionals involved in hyperbaric oxygen therapy. The goal of this blog post is to explain the changes that CMS is proposing in the Medicare Physician Fee Schedule (MPFS) for the technical payment of...
Can Physiologic Insulin Resensitization Therapy Give Patients With Diabetes a Second Chance?

Can Physiologic Insulin Resensitization Therapy Give Patients With Diabetes a Second Chance?

by Caroline Fife, M.D. | Aug 22, 2023 | Fight the Good Fight

I was taking care of a patient  who was at the end of the line with regard to his diabetes. He was a retired ICU nurse who had not taken his disease seriously until his kidneys were failing, by which time of course, his vision was nearly gone and his vascular disease...
HBOT Facility Payments are Under Attack (Physician Supervision is Next…)

MACs’ LCD Revisions for CTPs (Skin Substitutes) are Out, and You Need to Read the Fine Print!

by Caroline Fife, M.D. | Aug 14, 2023 | Fight the Good Fight

As I have already discussed, three Medicare Administrative Contractors (MACs) CGS, First Coast Service Option (FCSO) and Novitas issued their final Local Coverage Determinations (LCDs) for Cellular and/or tissue-based products (CTPs). These policies will go into...
HBOT Facility Payments are Under Attack (Physician Supervision is Next…)

MACs’ LCD Revisions for CTPs (Skin Substitutes) Are Out! Part 2

by Caroline Fife, M.D. | Aug 11, 2023 | Fight the Good Fight

As I have already discussed, 3 Medicare Administrative Contractors (MACs) CGS, First Coast Service Option (FCSO) and Novitas issued their final Local Coverage Determinations (LCDs) for Cellular and/or tissue-based products (CTPs). These policies will go into effect on...
Check Out the New Article in Today’s Wound Clinic About Mendota Health: “Breaking Down Silos of Care – a Wound Center that Provides In-Home Care!”

Check Out the New Article in Today’s Wound Clinic About Mendota Health: “Breaking Down Silos of Care – a Wound Center that Provides In-Home Care!”

by Caroline Fife, M.D. | Aug 10, 2023 | Fight the Good Fight

I was looking for in-home care for a home-bound patient in Minnesota and was given the name of Mendota Health. When I contacted them, I started the conversation with, “Hey I heard about your clinic, but what I really need is in-home care.” That’s when Nurse...
MACs’ LCD Revisions for CTPs (Skin Substitutes) Are Out!

MACs’ LCD Revisions for CTPs (Skin Substitutes) Are Out!

by Caroline Fife, M.D. | Aug 9, 2023 | Fight the Good Fight

Three Medicare Administrative Contractors (MACs) CGS, First Coast Service Option (FCSO) and Novitas issued their final Local Coverage Determinations (LCDs) for Cellular and/or tissue-based products (CTPs). These policies will go into effect on September 17. Links to...
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Recent Articles

  • The 20th Anniversary of Malpractice Reform in Texas – and the Perverse Impact on Pressure Ulcer Litigation September 14, 2023
  • The Kafkaesque Challenge of Medicare Advantage Prior Authorization September 13, 2023
  • Did You Know That There is a National 988 Suicide Prevention Lifeline? September 12, 2023
  • The Realities of Chronic Wound Research – Check Out the Podcast & News Article September 6, 2023
  • HBOT Facility Payments are Under Attack (Physician Supervision is Next…) September 5, 2023

Article Categories

  • Cassandra Chronicles: Regulatory and Coverage Policy
  • Cellular / Tissue-Based Products
  • COVID-19
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  • COVID-19 Diaries
  • Do the Right Thing: Thoughts on Quality
  • Don't Miss This
  • Dr. Helen Gelly
  • Dr. Marissa Carter
  • Fight the Good Fight
  • Guide to the Lymphatic System
  • Health Information Technology and Wound Care
  • Healthcare Payment Policy
  • Hyperbaric Oxygen Therapy
  • Lymphatic Imaging & Lymphedema
  • Miscellaneous Musings
  • Nutrition & Wound Healing
  • PAD Hall of Shame
  • Patient's Perspective
  • Pressure Cooker: Rethinking Pressure Ulcers
  • Pyoderma Gangrenosum
  • Quality Payment Program
  • Shin Radiation Madness
  • Tales of the Medicare Disadvantaged
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