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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...
Does this LinkedIn message terrify you? It should.

Does this LinkedIn message terrify you? It should.

by Caroline Fife, M.D. | Jul 18, 2023 | Fight the Good Fight

These are screen captures of an ad campaign, “How to become a wound care millionaire with 25 patients or less.” It’s true that CMS did not implement package pricing of “skin subs” in the doctors’ office setting for 2024, but there’s little doubt it will have to...
It’s Out! The Updated Analysis of the Cost of Chronic Wounds to Medicare is Available Now!

It’s Out! The Updated Analysis of the Cost of Chronic Wounds to Medicare is Available Now!

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

The Alliance of Wound Care Stakeholders sponsored an updated analysis of the cost chronic wounds among Medicare beneficiaries and the paper, “Chronic Wound Prevalence and the Associated Cost of Treatment in Medicare Beneficiaries: Changes Between 2014 and 2019,” just...
Vitamin D Intake, Serum 25-Hydroxyvitamin-D (25(OH)D) Levels, & Cancer Risk

Vitamin D Intake, Serum 25-Hydroxyvitamin-D (25(OH)D) Levels, & Cancer Risk

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

Yes, more evidence that Vitamin D is good for you A study by Arayici and colleagues just released in the journal “Nutrients”* summarizes the pooled analysis of numerous meta-analyses of serum 25(OH)D levels, vitamin D intake and cancer risk. The researchers found that...
Calculating the Medicare Cost of a Chronic Ulcer — the Answer Might Determine the Future of Wound Care

Calculating the Medicare Cost of a Chronic Ulcer — the Answer Might Determine the Future of Wound Care

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

This topic is like taking an Ambien in the middle of the day. Don’t read this article. I’m serious – watch some kittens on You Tube or read an article about what foods will make you lose weight. This topic will determine the future of the field of wound care, but like...
“You Are Liable For This Charge (For a Vitamin D Level)”

“You Are Liable For This Charge (For a Vitamin D Level)”

by Caroline Fife, M.D. | Jun 26, 2023 | Fight the Good Fight

This is a young woman with Rheumatoid Arthritis. She required a total knee replacement, and the surgical wound just fell apart. Negative Pressure Wound Therapy (NPWT) was started, but the foam just fell out of the wound without creating any visible change in the wound...
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Recent Articles

  • Vohra Wound Physicians and Owner Agree to Pay $45 Million to Settle Fraud Allegations Around Overbilling December 2, 2025
  • The Incredible Journey: Lessons Learned from a Skin Substitute Graft Audit (Part Three) November 20, 2025
  • Here Comes the Judge! Part 2 of the Incredible Journey of a Skin Substitute Audit – Guest Blog by Michael Crouch November 17, 2025
  • 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

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