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...
by Caroline Fife, M.D. | Oct 22, 2024 | Healthcare Payment Policy
The Centers for Medicare & Medicaid Services (CMS) has announced its Fiscal Year (FY) 2025 Inpatient Prospective Payment Systems final rule that includes a new Age Friendly Hospital Measure. Beginning in 2025, hospitals that participate in...
