by Caroline Fife, M.D. | Sep 20, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
Some days ago, I asked if it was legal for practitioners to make large profits off the cost of CTPs/skin subs – and the answer seems to be “yes”. Of course, I knew that no reputable attorney was going to send me a considered legal opinion on social media. I am still...
by Caroline Fife, M.D. | Sep 4, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
There’s a “problem” with the proposed LCD on CTPs/skin subs that no one is talking about. It’s a problem we’ve largely ignored for more than 20 years. To explain, I have to go back to 1998 when I was one of several sites for both the Apligraf and the Regranex clinical...
by Caroline Fife, M.D. | Aug 23, 2024 | Cellular / Tissue-Based Products, CTP / Skin Substitute Arrests, Skin Perfusion Pressure (SPP)
Last week I gave a talk at the Amputation Prevention Symposium entitled, “Elevate the CLI Patient’s Voice: Why it is so Important to do the Right Thing?” I have to confess that when the meeting organizers first asked me to explain why it’s important to do the...
by Caroline Fife, M.D. | Jun 27, 2024 | Nutrition & Wound Healing
In a recent study published in the New England Journal of Medicine, Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity, Tirzepatide (the medication in the weight-loss drug Zepbound and also the diabetes treatment Mounjaro), appeared to reduce the...
by M. Mark Melin MD & Davis Melin MPH | May 28, 2024 | Fight the Good Fight
Guest blog by M. Mark Melin MD and Davis Melin MPH A recent Nature article entitled “Active self‑treatment of a facial wound with a biologically active plant by a male Sumatran orangutan”1 is a fascinating description of Rakus, a mature, male orangutan who lives in...
by Caroline Fife, M.D. | Mar 11, 2024 | Fight the Good Fight
I need your help. If you are a wound care practitioner, I need you to follow the instructions on my blog and download your “Non-pressure ulcer” Field Test report and have a look at it. I know that you are already thinking, “blah blah blah” and I don’t blame you....
by Caroline Fife, M.D. | Dec 8, 2023 | Fight the Good Fight, Medicare Audits
This is part of my series of articles about Useful Information on Medicare Audits. Here are the “reasons for denial” codes for hyperbaric oxygen therapy posted on the Palmetto website. Although they are posted on the Palmetto website, these come from CMS and thus are...
by Caroline Fife, M.D. | Dec 7, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
(Including How to Make it More Equitable for Practitioners & Patients) I got this thoughtful email from Dr. Timothy Johnson with a list of practical suggestions to help fix the broken system around CTPs/skin subs. He has given me permission to post his comments....
by Caroline Fife, M.D. | Nov 3, 2023 | Healthcare Payment Policy, Hyperbaric Oxygen Therapy, Medicare Audits
I have been posting information from the MAC websites about audits and required documentation, particularly for HBOT. The Palmetto MAC website has a lot of detailed information about certain specific HBOT indications. The website is “cute” – you hover over the...
by Caroline Fife, M.D. | Oct 18, 2023 | Cellular / Tissue-Based Products, CTP / Skin Substitutes
I have talked about this issue before, but now that the new LCDs governing Cellular and/or Tissue-Based Products (CTPs/skin subs) have been withdrawn (and while we wait to see what the MACs and CMS will do next), maybe it’s worth bringing up again. The use of CTPs has...