by Caroline Fife, M.D. | Feb 19, 2019 | Healthcare Payment Policy
This message was left on the voice mail of our Wound Clinic Program Director. I’ve cut out any patient identifiers and the name of the payer. She’s providing a list of the documentation needed for her to authorize hyperbaric oxygen therapy: [regarding patient...
by Caroline Fife, M.D. | Feb 18, 2019 | Healthcare Payment Policy, Quality Payment Program
We have a serious problem with mistaken identity as wound care practitioners, and I don’t know what we are doing to do about it. I’ve told you that Medicare is holding me accountable for all the wound center patients with CHF and diabetes that get re-hospitalized each...
by Caroline Fife, M.D. | Feb 15, 2019 | Healthcare Payment Policy
I don’t want to sound like a doomsday lunatic, since there are enough of those running for President. Besides, I’m not qualified to run for President since I can do simple MATH. I’ve pointed out that in 2016, I looked at my “Quality and Resource Use Report” (QRUR) and...
by Caroline Fife, M.D. | Feb 12, 2019 | Healthcare Payment Policy
There’s a contradiction in the field of wound care that we have got to come to terms with. The annual cost of caring for the 15% of Medicare beneficiaries with chronic wounds is at least $28 Billion per year, but it might be as high as $96 Billion per year, and most...
by Caroline Fife, M.D. | Feb 4, 2019 | Healthcare Payment Policy
Special Guest Blogger- Helen Gelly, MD Since 2014, when CMS started the process of implementing the Prior Authorization of Non-Emergent Hyperbaric Oxygen, hyperbaric therapy has been firmly between the crosshairs of CMS. Important Message from UHMS Executive Director...
