by Caroline Fife, M.D. | Nov 4, 2022 | Cellular / Tissue-Based Products, Healthcare Payment Policy
The Centers for Medicare and Medicaid Services (CMS) has issued the final rule for the 2023 Physician Fee schedule CMS IS NOT finalizing the payment approach outlined in the proposed rule in which they proposed to make Cellular and/or tissue-based products (CPTs) part...
by Caroline Fife, M.D. | Nov 1, 2022 | Healthcare Payment Policy
I just finished a FREE 4 part series with Kathleen Schaum about keeping money after an audit. Here are the top 10 things that Kathleen Schaum listed as the reasons doctors and hospitals lose money when audited (my paraphrase of what she said): Lack of documentation to...
by Caroline Fife, M.D. | Oct 12, 2022 | Healthcare Payment Policy
There’s an astounding increase in every possible type of Medicare audit – one of which is the Recovery Audit Contractor (RAC) audit. It’s a good idea to keep abreast of all the resources available. Check out RACmonitor and its monthly podcast. The site is an online...
by Caroline Fife, M.D. | Sep 20, 2022 | Fight the Good Fight, Healthcare Payment Policy
I am a huge fan of Knicole Emanuel’s Medicare & Medicaid legal blog. Check out her most recent post about whether auditors can “double dip” by overlapping concurrent audits. EVERYONE is being audited. In fact, if you don’t think you have been audited, it’s likely...
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....
