by Caroline Fife, M.D. | Jul 9, 2025 | Fight the Good Fight, Healthcare Payment Policy
CMS has released Quality Payment Program (QPP) performance data for 2023. Under the QPP, payment “adjustments” (bonuses and penalties) occur two years after the “performance year,” so that 2023 scores impact a practitioner’s 2025 Medicare payments. It’s important to...
by Caroline Fife, M.D. | Jun 6, 2025 | Healthcare Payment Policy
A 2022 study in JAMA Association found that the Quality Payment Program (QPP) was “approximately as effective as chance in terms of identifying high versus low quality performance.” That’s a big “oops” when you can lose up to 9% of your Medicare billing based on your...
by Caroline Fife, M.D. | Jun 5, 2025 | Cellular / Tissue-Based Products, CTP / Skin Substitutes, Fight the Good Fight, Healthcare Payment Policy
There’s a new article in Health Affairs about “site neutral” payments that could change everything for hospital-based outpatient departments – and by that, I mean, possibly end them. However, I have been wrong about this threat for more than a decade – which means...
by Caroline Fife, M.D. | May 30, 2025 | Healthcare Payment Policy
I know you love reading about the Merit Based Incentive Payment System (MIPS) as much as I love writing about it… However, MIPS now matters to a lot more practitioners as wound care transitions into the office-based/mobile setting. (I will make a mental note to...
by Caroline Fife, M.D. | May 7, 2025 | Healthcare Payment Policy
Fierce Healthcare has reported that The Centers for Medicare & Medicaid Services (CMS) launched the Fraud Detection Operation Center (FDOC) to fight waste, fraud, and abuse. The “fraud War Room” is a real-time operations center which leverages the Fraud Prevention...
by Caroline Fife, M.D. | Mar 12, 2025 | Healthcare Payment Policy
Millions of Instructions Per Snooze? OK, MIPS actually stands for the Merit Based Incentive Payment System. This is not an area of expertise that I wanted to acquire – but I am committed to ensuring that hard-working wound care practitioners do not lose money because...
by Caroline Fife, M.D. | Feb 11, 2025 | Fight the Good Fight, Healthcare Payment Policy, Medicare Audits
The Alliance of Wound Care Stakeholders is hosting a webinar on Wednesday, February 12, 2025, 1:00 PM – 2:00 PM EST. If you and your organization provide wound care to Medicare beneficiaries, are you prepared for the important policy updates for 2025 implemented by...
by Caroline Fife, M.D. | Jan 23, 2025 | Healthcare Payment Policy
Thank you to HMP for letting me create a video talk on “MIPS (Merit Based Incentive Payment System) Basics”! You can listen to or watch it here on the Today’s Wound Clinic site. An Introduction to MIPS Basics | Today’s Wound Clinic Caroline Fife, M.D.Dr. Fife is...
by Caroline Fife, M.D. | Jan 20, 2025 | Fight the Good Fight, Healthcare Payment Policy
A U.S. District Court in Alabama has given preliminary approval to a landmark antitrust settlement involving Blue Cross Blue Shield (BCBS), calling for the insurer to pay $2.8 billion into a settlement fund designated for settlement class members, including...
by Caroline Fife, M.D. | Dec 17, 2024 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, Healthcare Payment Policy, US Wound Registry
It’s almost time! Join us today for our exclusive webinar, “Quality Measures: Why they don’t mean anything, but maybe everything.” Dec 17 | 4 PM EST Click Here to Register Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to...
