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
    • Nutrition & Wound Healing
    • Pressure Cooker: Rethinking Pressure Ulcers
    • Quality Payment Program
    • US Wound Registry
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CMS Extends the 2019 MIPS Deadline to April 30, 2020

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...
Check Out the Article by Helen Gelly on Patient Relationship Codes

Check Out the Article by Helen Gelly on Patient Relationship Codes

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

Check out the article in the March issue of Today’s Wound Clinic by Dr. Helen Gelly – Patient Relationship Codes: Why We Need Them and the Unintended Consequences of Using Them. The patient relationship codes are vital to both Wound Management and...
My Letter to Novitas About My Own Targeted Probe & Educate (TPE) Audit

My Letter to Novitas About My Own Targeted Probe & Educate (TPE) Audit

by Caroline Fife, M.D. | Mar 4, 2020 | Healthcare Payment Policy

I’ve blogged before about the Targeted Probe and Educate (TPE) process. I’m under a TPE over the handful of patients I treated with Medicare Fee for Service (FFS). I thought to myself, “OK the TPE process is clearly not triggered by patient volume so maybe it’s just...
I am a Crybaby and the Wound Care Evidence Summit April 1-2 (Part 3)

I am a Crybaby and the Wound Care Evidence Summit April 1-2 (Part 3)

by Caroline Fife, M.D. | Feb 28, 2020 | Fight the Good Fight, Healthcare Payment Policy, US Wound Registry

The Wound Care Evidence Summit will take place in Washington, D.C. April 1-2.  If you are involved in this area, you need to register now because spots are limited. The meeting will convene commercial and government payer medical directors, the FDA, NIH senior staff,...
Check Out the Standardized “Reason” Codes for Denial of Payment for HBOT

Check Out the Standardized “Reason” Codes for Denial of Payment for HBOT

by Caroline Fife, M.D. | Feb 26, 2020 | Healthcare Payment Policy

Medicare review contractors (Medicare Administrative Contractors, Recovery Audit Contractors and the Supplemental Medical Review Contractor) develop and maintain lists of reasons for denying payment for Medicare covered services like hyperbaric oxygen therapy (HBOT)....
Kafkaesque Clinical Trials – and Why You Need to Attend the Wound Care Evidence Summit (Part 2)

Kafkaesque Clinical Trials – and Why You Need to Attend the Wound Care Evidence Summit (Part 2)

by Caroline Fife, M.D. | Feb 26, 2020 | Fight the Good Fight, Healthcare Payment Policy

The Wound Care Evidence Summit will take place in Washington, D.C. April 1-2.  If you are involved in this area, you need to register now because spots are limited. The meeting will convene commercial and government payer medical directors, the FDA, NIH senior staff,...
Kafkaesque Clinical Trials – and Why You Need to Attend the Wound Care Evidence Summit April 1-2 (Part 1)

Kafkaesque Clinical Trials – and Why You Need to Attend the Wound Care Evidence Summit April 1-2 (Part 1)

by Caroline Fife, M.D. | Feb 25, 2020 | Fight the Good Fight, Healthcare Payment Policy

The Wound Care Evidence Summit will take place in Washington, D.C. April 1-2.  If you are involved in this area, you need to register now because spots are limited. The meeting will convene commercial and government payer medical directors, the FDA, NIH senior staff,...
The (Surrogate) Wound Outcomes that CMS Doesn’t Really Care About

The (Surrogate) Wound Outcomes that CMS Doesn’t Really Care About

by Caroline Fife, M.D. | Feb 24, 2020 | Fight the Good Fight, Healthcare Payment Policy, US Wound Registry

There’s a big focus on finding surrogate measures for wound outcome. I thought I could save anyone working in this area some wasted time by letting you know what outcomes CMS doesn’t care about. I can’t speak to what the FDA might care about. Under the Merit Based...
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