by Caroline Fife, M.D. | Feb 28, 2020 | Fight the Good Fight, Healthcare Payment Policy, US Wound Registry
The Wound Care Evidence Summit will take place in Washington, D.C. April 1-2. If you are involved in this area, you need to register now because spots are limited. The meeting will convene commercial and government payer medical directors, the FDA, NIH senior staff,...
by Caroline Fife, M.D. | Feb 26, 2020 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy
Medicare review contractors (Medicare Administrative Contractors, Recovery Audit Contractors and the Supplemental Medical Review Contractor) develop and maintain lists of reasons for denying payment for Medicare covered services like hyperbaric oxygen therapy (HBOT)....
by Caroline Fife, M.D. | Feb 26, 2020 | Fight the Good Fight, Healthcare Payment Policy
The Wound Care Evidence Summit will take place in Washington, D.C. April 1-2. If you are involved in this area, you need to register now because spots are limited. The meeting will convene commercial and government payer medical directors, the FDA, NIH senior staff,...
by Caroline Fife, M.D. | Feb 25, 2020 | Fight the Good Fight, Healthcare Payment Policy
The Wound Care Evidence Summit will take place in Washington, D.C. April 1-2. If you are involved in this area, you need to register now because spots are limited. The meeting will convene commercial and government payer medical directors, the FDA, NIH senior staff,...
by Caroline Fife, M.D. | Feb 24, 2020 | Fight the Good Fight, Healthcare Payment Policy, US Wound Registry
There’s a big focus on finding surrogate measures for wound outcome. I thought I could save anyone working in this area some wasted time by letting you know what outcomes CMS doesn’t care about. I can’t speak to what the FDA might care about. Under the Merit Based...
by Caroline Fife, M.D. | Feb 20, 2020 | Cellular / Tissue-Based Products, Healthcare Payment Policy
I feel like I should start this blog like the beginning of Star Wars, “Long ago, in a galaxy far away…“ Back in 2013, when insurance was less complicated, the US Wound Registry provided data for a medical student project under the supervision of Dr. Adelaide...
by Caroline Fife, M.D. | Feb 19, 2020 | Healthcare Payment Policy
To assist the Alliance of Wound Care Stakeholders in making its comments to CMS about the proposed “episode of care” payment model for Cellular and/or Tissue Based Products (CTPs) – sometimes referred to as “skin substitutes,” the US Wound Registry...
by Caroline Fife, M.D. | Feb 18, 2020 | Health Information Technology and Wound Care, Healthcare Payment Policy
There is lot of interest in surrogate measures of wound outcome to capture important aspects of treatment beyond closure. Because it provides insight into the patient’s experience, Quality of life (QOL) is an obvious surrogate for healing rate. For your own safety,...
by Caroline Fife, M.D. | Feb 17, 2020 | Healthcare Payment Policy
In 1787, Catherine II (also known as Catherine the Great), a Russian Tsarina, set out on a tour of the Crimea, an area Russia had annexed from the Ottoman Empire. The area had been devastated by the Crimean War and was a mess. Grigory Potemkin, governor of the Crimea,...
by Caroline Fife, M.D. | Feb 14, 2020 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy
I was asked to take a look at a 50-page report on a wound center’s post-payment review of hyperbaric oxygen therapy (HBOT) services. Nearly all the wounds that were treated were truly limb-threatening, and most of the patients got better. Unfortunately, their...
