Wound Care Blog | Dr. Caroline Fife MD

CMS Starts a Prior Authorization on Vein Ablation Performed in Ambulatory Surgical Centers

Although the HBOT PA process was limited to 3 states, HBOT utilization decreased nationwide and today remains at a 16 year low.

CMS Data Demonstrates a Cost and Clinical Advantage for Hyperbaric Oxygen for Radiation – Read it Ahead of Print in UHM!

These data support previous studies that demonstrate the clinical benefits and cost-effectiveness of HBO2 in conjunction with routine interventions.

Price & Size Limits to Cellular Tissue Product (CTP) Use in the HOPD vs the Office (This is All So Messed Up)

I am trying to find ways to visually depict our current situation with regard to Cellular and/or Tissue-based products (CTPs).

United Healthcare Updates its Skin and Soft Tissue Substitutes Policy Detailing Coverage for Epifix and Grafix® (and Listing the Products They Won’t Cover)

The policy also includes an extensive list of products that will NOT be covered by United Healthcare.

An Offer You Can’t Refuse? “A 4×4 Would Generate a Little Over $20,000 for Your Practice.”

Where will this end?

Pricing Trends in Cellular Tissue Products (CTPs) / Skin Substitutes / CAMPs – and Why Publishing the ASP is Not Helping

Here’s a visual example of the insanity of Cellular Tissue Product (CTP) pricing and the problem with ASPs.

Algorithm for Selection a “CAMP”: Ideal vs. Real

Last week I attended the inaugural Cellular, Acellular, and Matrix-like Product (CAMP) Summit. It was a very interesting and well-run meeting. I will digress to mention the acronym “CAMP” which is gaining traction over the more awkward (and possibly obsolete) Cellular...

It’s Finally Happened – CMS Has Issued Instructions on How to Bill a Claim for $99,999,999,99

I need to know how to justify putting one skin substitute on a patient that is 100 times more expensive than another one.

Recognizing & Treating Lipedema – a Podcast with Dr. Karen Herbst

I am thrilled that the topic of lipedema made it on to the AMA educational hub.

It’s Happened – a Cellular Tissue Product (CTP) / Skin Substitute That is >$2,800 per cm2

A friend sent me this email from a Cellular Tissue Product (CTP) / skin substitute rep. I ran out of words a long time ago. Message me if you have any words.

About Dr. Fife

Dr. Fife is a world-renowned wound care physician. She is the CMO of Intellicure, Inc., Exec. Director of the US Wound Registry & Editor of Today’s Wound Clinic.

Report Honest Healing Rates

It’s time for Wound Care physicians and providers to stand up for truly honest outcomes and transparent quality reporting. If we don’t we may see our entire profession wiped out. Click here to read more.