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...
by Caroline Fife, M.D. | Oct 8, 2024 | Fight the Good Fight, Healthcare Payment Policy
Medicare’s Quality Payment Program vs. Wound Care Practitioners | Today’s Wound Clinic Today’s Wound Clinic just posted an article I wrote about everyone’s favorite topic, MIPS! Here’s a table with the MIPS quality measures that might be reportable by most wound...
by Caroline Fife, M.D. | Sep 23, 2024 | Fight the Good Fight, Healthcare Payment Policy, The Patient's Voice
Patricia Han is a retired nurse with very serious health challenges who struggles with chronic wounds. She’s written articles about Medicare Advantage vs. regular Medicare for patients with wounds, as well as what she wishes every wound care practitioner knew (see...
by Caroline Fife, M.D. | Sep 12, 2024 | Healthcare Payment Policy
Starting Nov. 18, Blue Cross and Blue Shield of Texas (BCBSTX) will no longer pay physicians for outpatient or inpatient consultations when they report those services with Current Procedural Terminology (CPT) codes 99242 – 99245 and 99252 – 99255. According to...
