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How Not to Use EHR Data in Wound Care – and a Lost Opportunity to Understand the Impact of Semaglutide on Diabetic Foot Ulcers

How Not to Use EHR Data in Wound Care – and a Lost Opportunity to Understand the Impact of Semaglutide on Diabetic Foot Ulcers

by Caroline Fife, M.D. | Mar 26, 2025 | Fight the Good Fight

A recently published study using electronic medical records has suggested that a prescription for the GLP-1 receptor agonist (RA) Semaglutide is associated with a decreased risk of wound healing complications, chronic non-healing “wounds,” pain, treatment for wound...
Three Charged with Second Degree Murder in Hyperbaric Chamber Fire

Three Charged with Second Degree Murder in Hyperbaric Chamber Fire

by Caroline Fife, M.D. | Mar 21, 2025 | Fight the Good Fight, Hyperbaric Oxygen Therapy

In January, a 5-year-old boy was killed in a monoplace hyperbaric chamber fire in Michigan. Now three people who operated the facility have been charged with second-degree murder. In response to the tragedy, Undersea and Hyperbaric Medical Society (UHMS) president Dr....
What Happened to “Innocent Until Proven Guilty? Check Out this Article on Medicare Recoupment

What Happened to “Innocent Until Proven Guilty? Check Out this Article on Medicare Recoupment

by Caroline Fife, M.D. | Mar 19, 2025 | Fight the Good Fight

Check out Knicole Emanuel’s recent blog post about CMS monetary recoupment before full adjudication. The Centers for Medicare and Medicaid Services (CMS) has the authority to recoup alleged overpayments from healthcare providers before the full adjudication of an...
Wound Characteristics Among Patients Exposed to Xylazine

Wound Characteristics Among Patients Exposed to Xylazine

by Caroline Fife, M.D. | Mar 17, 2025 | Fight the Good Fight

An article in JAMA Dermatology reviews the wound characteristics of a series of 29 patients hospitalized with confirmed xylazine exposure. Xylazine was originally developed as a veterinary sedative, anesthetic, and muscle relaxant. Although xylazine is not an opioid,...
GLP-1 RAs and Peripheral Arterial Disease?

GLP-1 RAs and Peripheral Arterial Disease?

by Caroline Fife, M.D. | Mar 14, 2025 | Fight the Good Fight

By now I suppose everyone thinks that I am employed by one of the GLP-1RA marketing firms. I have still not decided exactly where to fit this exciting new drug in the armamentarium of a wound care practitioner, but so far the drugs have potential use in just about...
The Alliance of Wound Care Stakeholders’ 2024 Annual Report & Arquillian Battle Cruisers

The Alliance of Wound Care Stakeholders’ 2024 Annual Report & Arquillian Battle Cruisers

by Caroline Fife, M.D. | Mar 5, 2025 | Fight the Good Fight

There’s a line from Men in Black where Agent K says, “There’s always an Arquillian Battle Cruiser, or a Corillian Death Ray, or an intergalactic plague that is about to wipe out all life on this miserable little planet, and the only way these people can get on...
Insurers Continue AI Claims Automation Despite Legal Challenges

Insurers Continue AI Claims Automation Despite Legal Challenges

by Caroline Fife, M.D. | Mar 3, 2025 | Fight the Good Fight

This Modern Healthcare article from 2/26 is behind a paywall, but I am posting the link anyway. The article reports that earlier in February, a federal judge “partially advanced a potential class action lawsuit against UnitedHealth Group and its UnitedHealthcare...
Artificial Intelligence vs Augmented Intelligence in Prior Authorization Denials

Artificial Intelligence vs Augmented Intelligence in Prior Authorization Denials

by Caroline Fife, M.D. | Feb 28, 2025 | Fight the Good Fight

Migraines are the bane of my life, but I’ve gotten relief from Botox injections to trigger points. This was working fantastically for a year, until suddenly my insurance company decided to deny the prior authorization (PA) request. It took six months to get it...
New Taxonomy Codes for Wound Care Practitioners!

New Taxonomy Codes for Wound Care Practitioners!

by Caroline Fife, M.D. | Feb 19, 2025 | Fight the Good Fight

Some of you have alerted me to new taxonomy codes that are relevant to the practice of wound care. This seems like huge news to me! I am listing a few of them below, with some explanation of what the components of the code mean. I do not know, for example, if an...
This Might Be the Worst Flu Season in 15 Years

This Might Be the Worst Flu Season in 15 Years

by Caroline Fife, M.D. | Feb 17, 2025 | Fight the Good Fight, Miscellaneous Musings

The AP (2/7, Stobbe) reported, “The U.S. winter virus season is in full force, and by one measure is the most intense in 15 years.” According to the AP, “one indicator of flu activity is the percentage of doctor’s office visits driven by flu-like symptoms.” Two weeks...
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Wound Care Reimbursements

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