Super Mario – And “Simplexity”
I don’t have THE answer to the “complex but simple” things, but at least I have Super Mario.
Category: Healthcare Payment Policy
Pre-Authorization for All… and Medicare by Any Other Name
Although Medicare officially ended prior authorization, it’s still alive and well through the Medicare Advantage prior authorization programs which are rapidly taking over the market.
Transdermal Oxygen for the Irradiated Field – I’ll Be Darned if it Didn’t Work!
The wound closed 11 weeks after OxyBand treatments began.
Oh, Was That All You Needed?
This message was left on the voice mail of our Wound Clinic Program Director. I’ve cut out any patient identifiers
Mistaken Identity Part 2 – It’s Not ME!
How long do you think anyone can continue to practice wound care if quality is going to be determined by the performance of others, and wound care practitioners are held responsible for the cost of all the patient’s underlying medical conditions?
A Case of Mistaken Identity
The issue for me is not so much that the patients were hospitalized, but that Medicare holds me accountable for the fact that they got hospitalized, and there is no mechanism for me to explain to Medicare that I’m just their Wound Care doctor.
The HCC, The Terminator and Judgement Day for Wound Care
Either the majority of patients do not heal in a few weeks, or we are spending billions of dollars a year on advanced therapeutics that patients don’t need. Which is it? How can we tell?
