Cellular / Tissue-Based Products (CTPs)
How Playing by the Rules with Cellular Tissue-Based Products / Skin Substitutes Can LOSE Money in the Doctor’s Office
I thought people should understand what happens to doctors who play by the rules when it comes to the use of CTP/skin subs in their private office.
Thoughts on How to Fix the Cellular Tissue Product (CTP) / Skin Substitute Crisis
We’ve spent a lot of time talking about what is broken, now is the time to collaborate in a positive way about how to make it better.
Big Profits in Medicare Patients Only!
The Medicare trust fund is bankrupt and this “profit” is funded by our tax dollars. How does that make you feel?
Alliance Advisory Panel Recommendations to CMS to Help With the Skin Substitute / Cellular-Based Tissue Products Problems
If you have other ideas that might address the long list of problems identified so far, feel free to send them to me.
Selling the Spread on Cellular Tissue Products (CTP’s) / Skin Substitutes – is That Even Legal?
I am told that this case is cited in training programs for pharmaceutical sales reps to highlight the fact that “Selling the Spread” is a violation of Federal law etc.
Taking a Closer Look at the OIG Report on “Skin substitute” (CTP) ASP Transparency
You should read the whole report (it’s not very long), but I am going to provide some excerpts.
A Different Level of Thinking on Cellular Tissue Product Skin Substitute Policy
I previously posted the list of issues as I see them in this industry. Now I’d like to create a list of the attributes of a good solution.
A Problem Well-Stated is a Problem Half Solved… (Hopefully)
. If CMS or the MACs try to “fix” the situation without input from us, we have seen how unfortunate the results can be.
(Not) Choosing Wisely for Cellular and/or Tissue-Based Products (CTPs)
We could figure this out if we wanted to, but right now there’s so much money to be made that it’s an uphill battle.
Be a Wound Care Millionaire with 25 Patients or Less – and Maybe Lose it All in a RAC Audit?
A physician who is a walking saint with regard to clinical practice, but whose documentation failed in one subjective area, could end up paying back a small fortune.
How to Submit a Medicare Claim for a CTP When the Dollar Amount Exceeds $99,999.99
…with a question about the per cm sq price variations for Cellular / Tissue-Based Products (CTPs).
$180,000 for In-Home Application of Cellular / Tissue-Based Products (CTPs)… I Have Run Out of Words for This
I could provide the names of the companies involved, but I can’t afford the legal bills.
Disparities in Access to Care for CTPs / Skin Subs (and How Package Pricing in the Doctor’s Office Might Actually Improve Access to Them)
Everywhere I turn, there seems to be an issue that is ethically worrisome about Cellular / Tissue Based Products (CTPs).
Wound Care, the “Rodney Dangerfield” of Specialties – At Least Partly Due to the CTP Payment Methodology
Do you think that the [current CTP payment system] supports thoughtful patient care and the medically appropriate use of CTPs in the physician’s office?
More of Your Letters: Skin Substitutes, CMS, Failed Proposals and the Broken System
Here’s another message that I agreed to post anonymously that asks many questions we are asking.
“Research Not Rebates”… and “Our IRB Status with the Department of Health and Human Services…” Hmmmmmm……..
I worry that this is a thinly disguised rebate program, and it would be a shame if that approach backfires on legitimate research initiatives.
Can Someone Explain the Math on the Patient Copay for CTPs (Skin Substitutes)?
Where I come from, we’d say that something about this seems as crooked as a dog’s hind leg. However, it’s possible that I just don’t understand it, so I hope you will explain it to me.
How We Got Here – Answers to the Questions I Have Been Asking
With these answers, perhaps we can begin talk about what kind of policies would FIX this mess, pretending we could get anyone to listen.
The Other Side of the CTP/Skin Substitute Story – How Poorly-Crafted CMS Policies for Package Pricing in HOPDs Created This Mess
HOPDs lose money on CTP/Skin Substitute applications, while doctor’s offices make huge profits from the product. Why is this OK?
“We Will All Lose in the End.” Let’s Discuss the Moral Hazard of the CTP (Skin Substitute) Industry
If you want to send me a message to post anonymously, email me and I will review it and perhaps discuss it with you further.
If You Wonder Why CMS is Looking at Skin Subs, Check Out These Claims…
Can anyone tell me why no invoice is needed to submit these claims and exactly how these profits are being realized?
CTP/Skin Sub Ads to Doctors – Am I the ONLY Person Who Thinks There’s Something Wrong?
Feel free to send me the ads that you have seen. I will redact the name of the company and post them.
The opinions, comments, and content expressed or implied in my statements are solely my own and do not necessarily reflect the position or views of Intellicure or any of the boards on which I serve.