Caroline Fife M.D.
  • 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
    • Nutrition & Wound Healing
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
  • Contact
  • Facebook
  • LinkedIn
Select Page
  • 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
    • Nutrition & Wound Healing
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
  • Contact
  • Facebook
  • LinkedIn
Private Payer Policy Blunders: What Should We Do?

Private Payer Policy Blunders: What Should We Do?

by Caroline Fife, M.D. | Jan 5, 2021 | Healthcare Payment Policy

Dr. Helen Gelly sent me the statement below from Blue Cross Blue Shield of Alabama (BCBSAL) as it pertains to considerations regarding Hyperbaric Oxygen Therapy: Menstruation: There is a great risk for decompression illness in the early phase of the menstrual cycle....
Hospital-Based Outpatient “Wound Centers” Must Identify the Physician Supervising Today’s Visit

Hospital-Based Outpatient “Wound Centers” Must Identify the Physician Supervising Today’s Visit

by Caroline Fife, M.D. | Dec 16, 2020 | Healthcare Payment Policy

It’s time to revisit the issue of the relationship of the physician to the hospital-based outpatient department (HOPD), the “site of service” for many wound care programs. The issue is confusing, I agree. More and more wound management is being done in doctor’s...
Information on the Physician Fee Schedule Final Rule

Information on the Physician Fee Schedule Final Rule

by Caroline Fife, M.D. | Dec 10, 2020 | Healthcare Payment Policy, Quality Payment Program

Here are links to information regarding the Physicians Fee Schedule final rule: Final Rule Physician Fee Schedule Final Rule fact sheet Quality Payment Program Final Rule fact sheet and FAQs Here are the Physician Fee Schedule files:...
Information on the Physician Fee Schedule Final Rule

Register for CMS Webinars on the final rules for the Quality Payment Program (Today!) and the Physician Fee Schedule

by Caroline Fife, M.D. | Dec 9, 2020 | Healthcare Payment Policy, Quality Payment Program

CMS is conducting Webinars on the Final Rules of the Quality Payment Program and the Physician Schedule – starting today! 1. Register for the December 9 Overview of the 2021 Quality Payment Program Final Rule Webinar 2:00 – 3:30 pm eastern The Centers for...
Hope for Atrophie Blanche with Compounded Topical Dapsone and Aspirin

Hope for Atrophie Blanche with Compounded Topical Dapsone and Aspirin

by Caroline Fife, M.D. | Dec 8, 2020 | Do the Right Thing: Thoughts on Quality, Fight the Good Fight, Healthcare Payment Policy

I understand why companies develop products for diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs), even though those are NOT the most common wound problems. It’s because the clinical trials needed to satisfy the Food and Drug Administration (FDA) are well...
Real World or Randomized Trial Data? Which is Best to Study Effectiveness in Wound Care?

Real World or Randomized Trial Data? Which is Best to Study Effectiveness in Wound Care?

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

It happened again. Someone asked me if it was possible to use real world data for a comparative effectiveness study in wound care. There was a fantastic presentation on this topic given in 2016 at ISPOR (the International Society for Pharmacoeconomics and Outcomes...
Upcoming MIPS Important Dates and Deadlines

Upcoming MIPS Important Dates and Deadlines

by Caroline Fife, M.D. | Dec 2, 2020 | Healthcare Payment Policy, Quality Payment Program

Deadlines are approaching for Physicians to submit hardship exemption paperwork to CMS. Depending on your situation, requesting an exemption could spare you penalties under MIPS. I will be the first to admit that this process is darn confusing when it’s business as...
A Small COVID Silver Lining: Get a Break from CMS on Some MIPS Categories

A Small COVID Silver Lining: Get a Break from CMS on Some MIPS Categories

by Caroline Fife, M.D. | Nov 20, 2020 | COVID-19, Healthcare Payment Policy

As a result of the pandemic, The Centers for Medicare and Medicaid Services (CMS) has invoked its Extreme and Uncontrollable Circumstances policy (click the link to download the PDF) and is allowing participants in the Merit Based Incentive Payment System (MIPS) to...
Guest Post by Dr. Helen Gelly: Medicare Denials for Radiation Proctitis

Guest Post by Dr. Helen Gelly: Medicare Denials for Radiation Proctitis

by Caroline Fife, M.D. | Nov 12, 2020 | Healthcare Payment Policy

Thank you to Dr. Helen Gelly for providing this guest post about Medicare denials for radiation proctitis. –Caroline Why are Medicare charges for hyperbaric oxygen therapy (HBOT) denied when treating radiation proctitis? National Coverage Decision (NCD) 20.29...
Reporting Wound Care Relevant Quality Measures to CMS as Part of MIPS

Reporting Wound Care Relevant Quality Measures to CMS as Part of MIPS

by Caroline Fife, M.D. | Nov 6, 2020 | Healthcare Payment Policy

Recently someone asked me if it was actually possible to report wound care relevant quality measures to CMS as part of MIPS (the Merit Based Incentive Payment Plan). The answer is yes. Here are screenshots from my own reporting, so you can see that I reported them and...
« Older Entries
Next Entries »
Wound Care Reimbursements

Subscribe to My Blog!

Enter your email address to subscribe to my blog. You'll receive notifications of new posts by email.

Join 1,737 other subscribers

Recent Articles

  • The Author of COVID Diaries Revealed June 27, 2022
  • “Thank You God for Letting Me Be a Doctor” June 24, 2022
  • Cam Ayala Teams Up with Kathy Bates to Raise Awareness for Lymphedema | PEOPLE.com June 22, 2022
  • “Reimbursement From A to Z” Now Available! June 20, 2022
  • Lymphatic Function in the Early Stages of Lipedema – Article Just Out! June 17, 2022

Article Categories

  • Cassandra Chronicles: Regulatory and Coverage Policy
  • COVID-19
  • COVID-19 & HBOT
  • COVID-19 Diaries
  • Do the Right Thing: Thoughts on Quality
  • Don't Miss This
  • Dr. Marissa Carter
  • Fight the Good Fight
  • Health Information Technology and Wound Care
  • Healthcare Payment Policy
  • Miscellaneous Musings
  • Nutrition & Wound Healing
  • PAD Hall of Shame
  • Pressure Cooker: Rethinking Pressure Ulcers
  • Quality Payment Program
  • Shin Radiation Madness
  • Tales of the Medicare Disadvantaged
  • Uncategorized
  • Undaunted Spirit Award
  • US Wound Registry

Articles by Month

  • Facebook
  • Twitter
©Dr. Caroline Fife M.D. All rights reserved. Website design & programming by LI Web Guy Inc.