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
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
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Medicare Trust Fund Insolvency Looms in 2024

Medicare Trust Fund Insolvency Looms in 2024

by Caroline Fife, M.D. | Sep 10, 2020 | Healthcare Payment Policy

The Congressional Budget Office (CBO) has issued the report below, estimating that the Medicare Trust Fund will become insolvent in 2024, two years sooner than the previous estimate, because of the pandemic. The Medicare Payment Advisory Commission (MedPAC) members...
Novitas and First Coast Retire Local Coverage Determinations for HBOT

Novitas and First Coast Retire Local Coverage Determinations for HBOT

by Caroline Fife, M.D. | Sep 9, 2020 | Healthcare Payment Policy

Novitas and First Coast have retired their Local Coverage Determinations (LCDs) for Hyperbaric Oxygen Therapy (HBOT). Because the National Coverage Determination (NCD) for HBOT remains in place, theoretically coverage for HBOT should not change as a result. At least...
The Development of the Wound Quality of Life Questionnaire – and Why QOL is a Failure as a Surrogate of Wound Outcome

The Development of the Wound Quality of Life Questionnaire – and Why QOL is a Failure as a Surrogate of Wound Outcome

by Caroline Fife, M.D. | Aug 13, 2020 | Healthcare Payment Policy

Check out this article I wrote on the development of a wound-specific Quality of Life Questionnaire – and why it failed as a surrogate for wound outcome – posted on the eKare website. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to...
MACs Resume Medical Review on a Post-Payment Basis

MACs Resume Medical Review on a Post-Payment Basis

by Caroline Fife, M.D. | Aug 7, 2020 | Healthcare Payment Policy

Medicare Administrative Contractors (MACs) are resuming post-payment reviews of items/services provided before March 1, 2020. The Targeted Probe and Educate program (intensive education to assess provider compliance through up to three rounds of review) will restart...
Guest Article by Dr. Helen Gelly: CMS Can Cut Reimbursement to Off-Campus Hospital Facilities – Says Appeals Court

Guest Article by Dr. Helen Gelly: CMS Can Cut Reimbursement to Off-Campus Hospital Facilities – Says Appeals Court

by Caroline Fife, M.D. | Jul 21, 2020 | Healthcare Payment Policy

Here’s a guest blog from Dr. Helen Gelly on the topic of off-campus facility reimbursement, which has implications regarding the prospect of “site neutrality”. For more information on the topic of site neutrality, read this article by Dr. Helen Gelly, “Uncharted...
Why Would the FDA Block the Use of HBOT to Avoid Intubation in COVID-19 Pneumonia?

Why Would the FDA Block the Use of HBOT to Avoid Intubation in COVID-19 Pneumonia?

by Caroline Fife, M.D. | Jul 9, 2020 | COVID-19, COVID-19 & HBOT, Healthcare Payment Policy

Hyperbaric Oxygen Therapy (HBOT) has been used for many decades to treat a variety of maladies which have as their common denominator low tissue oxygen levels (hypoxia). Thanks to the pioneering work of Steve Thom and others, HBOT has also been proven to mitigate the...
The COVID-19 Pandemic Public Health Emergency (PHE)

The COVID-19 Pandemic Public Health Emergency (PHE)

by Caroline Fife, M.D. | Jul 6, 2020 | COVID-19, COVID-19 & HBOT, Healthcare Payment Policy

I am a huge fan of attorney Knicole Emanuel’s legal blog. Here’s a link to her most recent post about the current expiration date of the COVID-19 pandemic public health emergency (PHE). Unless it is renewed by the Centers for Medicare & Medicaid Services (CMS),...
MACs Resume Medical Review on a Post-Payment Basis

CMS Extends the 2019 MIPS Deadline to April 30, 2020

by Caroline Fife, M.D. | Mar 25, 2020 | Healthcare Payment Policy, Quality Payment Program

As a result of COVID-19, CMS has extended the 2019 MIPS reporting deadline to April 30, 2020. Click here to read the full press release. Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven...
Does This Treatment Make a Difference? The Art & Science of Predicting Wound Healing

Does This Treatment Make a Difference? The Art & Science of Predicting Wound Healing

by Caroline Fife, M.D. | Mar 19, 2020 | Do the Right Thing: Thoughts on Quality, Healthcare Payment Policy

Special guest blog post by Marissa Carter, PhD Predicting Healing on the First Visit (for venous ulcers and other wound types) There is a lot of interest in “predictive models” for chronic wounds and ulcers. The ideal predictive model can predict at the FIRST VISIT...
Check Out the Editorial by Traci Kimball, Whose Practice is a Model for the Future of Wound Management

Check Out the Editorial by Traci Kimball, Whose Practice is a Model for the Future of Wound Management

by Caroline Fife, M.D. | Mar 11, 2020 | Healthcare Payment Policy

Check out the guest editorial by Dr. Traci Kimball in the March issue of Today’s Wound Clinic: Can a Unique Wound Management Program Be a Model for Wound Care? I invited Traci to write this guest editorial, because we need to hear from wound management physicians who...
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Recent Articles

  • What’s Wrong With This Picture? Why Foam Pads Can’t Prevent Ischemic Injuries March 5, 2021
  • Watch Pressure Injuries Form From the Inside Out! March 3, 2021
  • Thinking Out Loud About Ischemia Originating as a Venous Occlusion March 2, 2021
  • Severe Pressure Injuries Form From the Inside Out! March 1, 2021
  • The Perfect Presentation to an Administrative Law Judge about Medicare Denials for Radiation Injury to the Bladder February 23, 2021

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