by Caroline Fife, M.D. | Oct 23, 2019 | Healthcare Payment Policy
Five years ago, Dr. Guy Clifton, a Robert Wood Johnson Fellow, neurosurgeon, Congressional aid and author of the book Flatlined: Resuscitating American Medicine, spoke at the fall SAWC in a poorly attended session. Most Hyperbaric Medicine and Wound care practitioners...
by Caroline Fife, M.D. | Oct 10, 2019 | Cellular / Tissue-Based Products, Healthcare Payment Policy
Guest blog post by Dr. Helen Gelly Using the claims data from Medicare that are publicly available, a newly published study which I co-authored looked at various parameters that will eventually impact the bundled pricing payment model. Because a number of insurance...
by Caroline Fife, M.D. | Oct 8, 2019 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy
Guest blog post by Dick Clarke of National Baromedical Services On August 1 of this year, a bill entitled the “North Carolina Veterans Traumatic Brain Injury (TBI) and Posttraumatic Stress Disorder (PTSD) Treatment and Recovery Act” (House Bill 50 / SL 2019-175)...
by Caroline Fife, M.D. | Oct 7, 2019 | Healthcare Payment Policy, Pressure Cooker: Rethinking Pressure Ulcers
WPS Government Health Administrators (GHA) is a Medicare Administrative Contractor (MAC) and its Local Coverage Determination (LCD) on Wound Care became effective on April 16, 2018. The U.S. states impacted by the WPS LCD on Wound Care are: Jurisdiction 5 (J5) –...
by Caroline Fife, M.D. | Oct 4, 2019 | Healthcare Payment Policy
On Thursday, President Trump signed an executive order to equalize payment among sites of service. The order says that HHS should make sure Medicare pay and policies “encourage competition and a diversity of sites for patients to access care,” and directs CMS to look...
by Caroline Fife, M.D. | Sep 30, 2019 | Healthcare Payment Policy, Quality Payment Program, US Wound Registry
Do you still have the photos of the first patient you treated with the VAC? Here are the 1997 photos of my first VAC patient, only 2 years after the device was cleared by the FDA. I know the photo quality is terrible – they were originally Polaroids! My point is that...
by Caroline Fife, M.D. | Sep 19, 2019 | Healthcare Payment Policy
I have been using DNA assay of wounds for a decade, but am still trying to figure out how best to employ this technology. Here’s an example of why it is needed at times: This is a frail lady who is devoted to her dogs. Her wound had been making progress at a glacial...
by Caroline Fife, M.D. | Aug 30, 2019 | Healthcare Payment Policy
If you are like me, the fun part about the Labor Day holiday is that there’s no traffic on Monday when you drive to work… Here’s an interesting bit of fodder for your drive to work on the Labor Day holiday. I follow the blog of Knicole Emanuel, an attorney in...
by Caroline Fife, M.D. | Aug 28, 2019 | Fight the Good Fight, Healthcare Payment Policy
I am just going to say it. The majority of prospective trials in wound healing have enrolled subjects whose wounds were more likely to heal than not. While more “generalizable” trials (meaning, actually relevant to real patients) are underway or in the planning...
by Caroline Fife, M.D. | Aug 15, 2019 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy
Noridian has started sending out letters to notify hospitals of post-payment review of outpatient HBOT charged records from 2018 (G0277). See below for the pitfalls of writing the usual HBOT note. If you do not order the HBOT for that day, you will likely not get...
