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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...
If You Are a Physician who Bills for Hyperbaric Oxygen Therapy (HBOT) Services, USE THIS LINK TO MAKE SURE THAT YOU ARE BILLING THE CORRECT PLACE OF SERVICE

If You Are a Physician who Bills for Hyperbaric Oxygen Therapy (HBOT) Services, USE THIS LINK TO MAKE SURE THAT YOU ARE BILLING THE CORRECT PLACE OF SERVICE

by Caroline Fife, M.D. | Aug 8, 2023 | Fight the Good Fight

Forgive me for “over explaining” this issue, but it needs some over-explanation. Hyperbaric oxygen therapy (HBOT) is usually provided in either a hospital-based environment or an office-based environment – otherwise known as “place of service” (POS). Different sites...
CORRECTION: “Medicare” Does Not Really Remove the Requirement that a Patient Fail 4 Weeks of Conservative Therapy to Get a PCD

CORRECTION: “Medicare” Does Not Really Remove the Requirement that a Patient Fail 4 Weeks of Conservative Therapy to Get a PCD

by Caroline Fife, M.D. | Aug 7, 2023 | Fight the Good Fight

Well, it sounded good – the idea that Medicare had removed the requirement that a patient fail 4 weeks of conservative therapy to get a pneumatic compression device (PCD) – referred to in the coverage policy as Intermittent Pneumatic Compression (IPC). But...
The APWCA Keynote Address is to Be Given by the Author of COVID Diaries!

The APWCA Keynote Address is to Be Given by the Author of COVID Diaries!

by Caroline Fife, M.D. | Aug 7, 2023 | COVID-19, COVID-19 Diaries, Fight the Good Fight

It’s no secret that clinician burnout is a serious issue, and in a world drastically changed by the COVID-19 pandemic, the rates of burnout have only increased. Dr. Sandra Wainwright, Author of “The COVID Diaries” will make a keynote address that...
Medicare Removes the Requirement That a Patient Fail Four Weeks of Conservative Therapy in Order to Get a Pneumatic Compression Device!

Medicare Removes the Requirement That a Patient Fail Four Weeks of Conservative Therapy in Order to Get a Pneumatic Compression Device!

by Caroline Fife, M.D. | Jul 31, 2023 | Fight the Good Fight

Thanks to advocacy from the Alliance of Wound Care Stakeholders, and as a result of the successful case United States District Court, District of Columbia decision in Greenwald v. Becerra (Decided June 7, 2022), the DMEMACs released an updated Local Coverage...
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