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What’s Wrong with Medicare Physician Payment? MIPS!

What’s Wrong with Medicare Physician Payment? MIPS!

by Caroline Fife, M.D. | Jun 4, 2024 | Fight the Good Fight, Quality Payment Program

The AMA has a series called “What’s Wrong with Medicare Physician Payment,” and 4 of the 6 points in this article address the weaknesses of the Quality Payment Program (QPP). Three of those focus around issues related to the Merit Based Incentive Payment System...
Pondering a Natural and Cost-Effective Wound Care Treatment – Developed by an Orangutan

Pondering a Natural and Cost-Effective Wound Care Treatment – Developed by an Orangutan

by M. Mark Melin MD & Davis Melin MPH | May 28, 2024 | Fight the Good Fight

Guest blog by M. Mark Melin MD and Davis Melin MPH A recent Nature article entitled “Active self‑treatment of a facial wound with a biologically active plant by a male Sumatran orangutan”1 is a fascinating description of Rakus, a mature, male orangutan who lives in...
A Great Way to Teach Children History on Memorial Day (Updated)

A Great Way to Teach Children History on Memorial Day (Updated)

by Caroline Fife, M.D. | May 27, 2024 | Fight the Good Fight, Health Information Technology and Wound Care

In honor of Memorial Day, here is a re-post from 2020. –Caroline My Dad was a veteran of WWII and Korea and my husband was a veteran. On Memorial Day I find myself wanting to go somewhere to pay tribute our service men and women. My Mother, my son and I usually...
Don’t Miss Your Chance to Make $594,000 per Cellular Tissue Product (CTP) Application

Don’t Miss Your Chance to Make $594,000 per Cellular Tissue Product (CTP) Application

by Caroline Fife, M.D. | May 15, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight

If you are at [a certain national wound care meeting I won’t name] this week and you missed the email blast below, it may not be too late to have dinner on the Cellular Tissue Product (CTP) company circulating the invitation. Per their email (forwarded to me by...
Join Me at SAWC to Understand “Why Are All My Chronic Wound Patients So SICK?”

Join Me at SAWC to Understand “Why Are All My Chronic Wound Patients So SICK?”

by Caroline Fife, M.D. | May 8, 2024 | Fight the Good Fight, Obesity & Wound Care

If you are attending the SAWC Spring 2024 Conference next week, come listen to Dr. Marissa Carter and I discuss, “Why are all My Chronic Wound Patients so SICK?” The session is Wednesday May 15, from 1:45 PM – 2:45 PM Eastern, in Crystal K. In the session, we...
What’s Wrong with Medicare Physician Payment? MIPS!

Medical Specialty and Total Per Capita (Medicare) Cost (Drink Coffee Before You Try to Read This)

by Caroline Fife, M.D. | May 7, 2024 | Fight the Good Fight, Healthcare Payment Policy, Hyperbaric Oxygen Therapy

CMS recently announced that the Total Per Capita Cost (TPCC) cost measure is now open for comment. CMS (through its contractor, Acumen) is gathering comments on the TPCC measure to determine updates to the measure’s attribution methodology (“attribution” is the...
Wegovy Approved by the FDA to Lower the Risk of Stroke and Heart Attack in Obese NON Diabetics

Wegovy Approved by the FDA to Lower the Risk of Stroke and Heart Attack in Obese NON Diabetics

by Caroline Fife, M.D. | Apr 29, 2024 | Fight the Good Fight, Obesity & Wound Care

I worry a lot about the relationship between obesity and chronic wounds. Obesity is linked to diabetes and diabetic neuropathy. It causes a chronic inflammatory state, it often leads to lymphedema, and it is often associated with chronic leg dependency due to chair...
Musing About Misphonia and Gum Chewing With Your Mouth Open

Musing About Misphonia and Gum Chewing With Your Mouth Open

by Caroline Fife, M.D. | Apr 22, 2024 | Fight the Good Fight, Miscellaneous Musings

The AMA has a very useful series called “What doctors wish patients knew about…“ The most recent one is about a condition called “misphonia.” This is a condition in which seemingly innocuous sounds can trigger an intense (and seemingly out of proportion)...
What’s Wrong with Medicare Physician Payment? MIPS!

CMS Starts a Prior Authorization on Vein Ablation Performed in Ambulatory Surgical Centers

by Caroline Fife, M.D. | Apr 15, 2024 | Fight the Good Fight, Hyperbaric Oxygen Therapy

The Centers for Medicare & Medicaid Services (CMS) recently announced plans to test prior authorization (PA) for 40 services related to blepharoplasty, botulinum toxin injections, rhinoplasty, panniculectomy, and vein ablation performed in Ambulatory Surgical...
CMS Data Demonstrates a Cost and Clinical Advantage for Hyperbaric Oxygen for Radiation – Read it Ahead of Print in UHM!

CMS Data Demonstrates a Cost and Clinical Advantage for Hyperbaric Oxygen for Radiation – Read it Ahead of Print in UHM!

by Caroline Fife, M.D. | Apr 12, 2024 | Fight the Good Fight, Hyperbaric Oxygen Therapy

As anyone knows who has treated a patient with late effects of radiation to the bladder, the impact of HBO2 can be dramatic in terms of improving life-altering symptoms like radiation cystitis which causes bleeding and pain with urination. Some patients can bleed so...
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Wound Care Reimbursements

Recent Articles

  • Skin Substitute / Cellular Tissue Product (CTP) Pricing and a Path Forward November 5, 2025
  • One of Your Letters: UPIC Denies Everything Without Reading the Chart November 3, 2025
  • Breaking news! Cellular Tissue Products (CTPs) / CAMPS to be Paid at $127.28/cm2 November 1, 2025
  • Check Out the Editorial in Med Page Today: 2 Doctors Concerned About Improper Use of Skin Substitutes October 29, 2025
  • The Incredible Journey: Lessons Learned from a “Skin Substitute Graft” Audit – Part One October 28, 2025

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