Caroline Fife M.D.
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  • Home
  • About
  • Categories
    • The COVID-19 Diaries
    • COVID-19
    • Dr. Marissa Carter
    • Cassandra Chronicles: Regulatory and Coverage Policy
    • Do the Right Thing: Thoughts on Quality
    • Don’t Miss This
    • Fight the Good Fight
    • Health Information Technology and Wound Care
    • Healthcare Payment Policy
    • Miscellaneous Musings
    • My Articles on PRESENT Podiatry
    • My Editorials in Today’s Wound Clinic
    • Nutrition & Wound Healing
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
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New OIG Report Indicates That Some Medicare Advantage Organizations Delay Medically-Necessary Care that Medicare Should Provide (Duh)

New OIG Report Indicates That Some Medicare Advantage Organizations Delay Medically-Necessary Care that Medicare Should Provide (Duh)

by Caroline Fife, M.D. | May 11, 2022 | Healthcare Payment Policy

The Office of the Inspector General (OIG) has released a report concluding what we clinicians already knew – that the prior authorization (PA) process of some Medicare Advantage Organizations (MAO) delays medically-necessary care that is covered under Medicare rules....
2022 Wound Care Virtual Symposium

2022 Wound Care Virtual Symposium

by Caroline Fife, M.D. | Apr 27, 2022 | Fight the Good Fight, Healthcare Payment Policy

Join me Friday June 10th for the Northwell Health conference “Shining the Light on Wound Care”. I will be speaking about the vascular origin of pressure injuries! Click Here to Register Download the Brochure Caroline Fife, M.D.Dr. Fife is a world renowned wound care...
Check Out the New “Topic Centers” for Today’s Wound Clinic

Check Out the New “Topic Centers” for Today’s Wound Clinic

by Caroline Fife, M.D. | Mar 8, 2022 | Healthcare Payment Policy

I’ve been the clinical editor for Today’s Wound Clinic for a long time and we’ve published many fantastic articles on topics ranging from the complex issues around reimbursement to the challenges of lymphedema management, including hyperbaric oxygen therapy and now...
Called to the Principal’s Office

Called to the Principal’s Office

by Caroline Fife, M.D. | Feb 25, 2022 | Fight the Good Fight, Healthcare Payment Policy

Check out Dr David Charash’s guest editorial in Today’s Wound Clinic about his Medicare TPE (Targeted Probe and Educate) audit focused on hyperbaric oxygen therapy! –Caroline Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician...
CMS Approves 9 Wound Care & Hyperbaric Medicine Quality Measures for 2022

CMS Approves 9 Wound Care & Hyperbaric Medicine Quality Measures for 2022

by Caroline Fife, M.D. | Jan 21, 2022 | Healthcare Payment Policy

I’ve got some good news and some bad news. First, the Good News CMS (the Centers for Medicare and Medicaid Services) has approved 9 wound-care and hyperbaric medicine relevant quality measures for the 2022 reporting year. The quality measures were developed...
WATCH THIS: Trends in Wound Care Audits & Denials, with Dr. Caroline Fife and Dr. Helen Gelly

WATCH THIS: Trends in Wound Care Audits & Denials, with Dr. Caroline Fife and Dr. Helen Gelly

by Caroline Fife, M.D. | Nov 26, 2021 | Healthcare Payment Policy

Last week I enjoyed a relaxed, unscripted conversation with Dr. Helen Gelly about trends in wound care audits and charge denials, with a live audience Q&A. You can watch the recording of the conversation and Q&A below. You can also find the audio of this event...
Join Dr. Helen Gelly & Me on Friday, November 19th for an Interactive Webinar: Trends in Wound Care Audits & Denials

Join Dr. Helen Gelly & Me on Friday, November 19th for an Interactive Webinar: Trends in Wound Care Audits & Denials

by Caroline Fife, M.D. | Nov 17, 2021 | Healthcare Payment Policy

Friday, November 19th at 4:00PM EST Join a friendly, unscripted conversation between long-time friends and wound care industry influencers Dr. Caroline Fife and Dr. Helen Gelly as they discuss charge denial and audit trends affecting wound practices across the nation...
Check out Knicole Manuel’s Article on TPE and Prepay Audits

Check out Knicole Manuel’s Article on TPE and Prepay Audits

by Caroline Fife, M.D. | Oct 19, 2021 | Healthcare Payment Policy

I’ve mentioned that am a huge fan of Knicole Manuel. You should check out her latest blog post about Targeted Probe and Educate (TPE) audits. The various Medicare regions were hitting wound care and hyperbaric medicine physicians/hospitals hard with TPEs prior to...
A Patient’s Perspective on Choosing a Medicare Prescription Drug Plan

A Patient’s Perspective on Choosing a Medicare Prescription Drug Plan

by Caroline Fife, M.D. | Sep 30, 2021 | Healthcare Payment Policy, Tales of the Medicare Disadvantaged

Here’s a new post from our Patient Correspondent, Patricia Han, RN, about Medicare Drug Plans. She’s a retired nurse with many chronic health problems who used to be employed by a payer. I always learn something that a doctor ought to know from her real world examples...
Keeping Quality Measures for Wound Care and Hyperbaric Medicine

Keeping Quality Measures for Wound Care and Hyperbaric Medicine

by Caroline Fife, M.D. | Aug 23, 2021 | Healthcare Payment Policy

The Center for Medicare and Medicaid Services (CMS) moves slowly but once they start down a path, they don’t stop (no matter who is the President). In 2008 they started down a path to link Physician payment to patient outcome. It doesn’t seem real yet. If you do...
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Recent Articles

  • FDA Seeks Public Comments on the Wound Healing Workshop and Related Topics – and That Includes Comments from Patients: Here’s How May 17, 2022
  • Watch the Excellent FDA Wound Healing Workshop (for Free)! May 16, 2022
  • Check Out the Topic Centers in Today’s Wound Clinic May 13, 2022
  • “We have met the enemy, and he is us…” Musing on Robert’s Pearl’s New Book, “Uncaring: How the Culture of Medicine Kills Doctors and Patients” May 12, 2022
  • New OIG Report Indicates That Some Medicare Advantage Organizations Delay Medically-Necessary Care that Medicare Should Provide (Duh) May 11, 2022

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