by Caroline Fife, M.D. | Sep 19, 2022 | Healthcare Payment Policy
SESSION 1: Keeping Payments After An Audit Wednesday, Sept. 28 at 5 pm EST Join Kathleen Schaum and me, as we explore the trends and threats of audits hitting wound care practitioners across America. Attendees are invited to ask questions and provide their...
by Caroline Fife, M.D. | Sep 14, 2022 | Cellular / Tissue-Based Products, Healthcare Payment Policy
Check out the newest article about CMS NEWS in Today’s Wound Clinic – “Could Proposed Policy Changes in the 2023 Physician Fee Schedule Increase Amputations and Infections in Patients With Wounds?” by Marcia Nusgart, RPh. The Alliance of Wound Care Stakeholders is...
by Caroline Fife, M.D. | Aug 15, 2022 | Fight the Good Fight, Healthcare Payment Policy
Attention everyone in the Novitas jurisdiction! Novitas will host an Open Meeting on Friday, August 26, 2022, at 10:00 AM ET to allow the public to provide feedback about proposed Local Coverage Determinations (LCDs). The Open Meeting will be held via Webinar only....
by Caroline Fife, M.D. | Aug 10, 2022 | Cellular / Tissue-Based Products, Healthcare Payment Policy
I’ve previously posted information about the sweeping changes to office-based payment of Cellular and/or Tissue-Based Products (CTPs) recently proposed the Centers for Medicare and Medicaid Services (CMS). Office-based physicians will no longer be separately...
by Caroline Fife, M.D. | Aug 3, 2022 | Cellular / Tissue-Based Products, Healthcare Payment Policy, Tales of the Medicare Disadvantaged
The Centers for Medicare & Medicaid Services (CMS) released a Request for Information seeking public comment on the Medicare Advantage program. The goal of this program was described as, “more equitable, high quality, and person-centered care that is affordable...
by Caroline Fife, M.D. | Jul 14, 2022 | Cellular / Tissue-Based Products, Fight the Good Fight, Healthcare Payment Policy
The 2023 Medicare Physician Fee Schedule (CMS-1770-P) went on display late afternoon July 7, 2023. The proposed rule involves sweeping changes to the way that cellular and/or tissue based products for skin wounds (CTPs) are paid for in the physician office setting....
by Caroline Fife, M.D. | May 11, 2022 | Healthcare Payment Policy
The Office of the Inspector General (OIG) has released a report concluding what we clinicians already knew – that the prior authorization (PA) process of some Medicare Advantage Organizations (MAO) delays medically-necessary care that is covered under Medicare rules....
by Caroline Fife, M.D. | Apr 27, 2022 | Fight the Good Fight, Healthcare Payment Policy
Join me Friday June 10th for the Northwell Health conference “Shining the Light on Wound Care”. I will be speaking about the vascular origin of pressure injuries! Click Here to Register Download the Brochure Caroline Fife, M.D.Dr. Fife is a world renowned wound care...
by Caroline Fife, M.D. | Mar 8, 2022 | Healthcare Payment Policy
I’ve been the clinical editor for Today’s Wound Clinic for a long time and we’ve published many fantastic articles on topics ranging from the complex issues around reimbursement to the challenges of lymphedema management, including hyperbaric oxygen therapy and now...
by Caroline Fife, M.D. | Feb 25, 2022 | Fight the Good Fight, Healthcare Payment Policy
Check out Dr David Charash’s guest editorial in Today’s Wound Clinic about his Medicare TPE (Targeted Probe and Educate) audit focused on hyperbaric oxygen therapy! –Caroline Caroline Fife, M.D.Dr. Fife is a world renowned wound care physician...
