Proposed LCDs Would Cover Only 15 Cellular Tissue Products (CTPs), Leaving All Others “Non-Covered”

On April 25, ALL 8 CMS Medicare Administrative Contractors (MACs) released proposed LCD/LCAs for Skin Substitutes/CTPs for DFUs and VLUs.

Wegovy Approved by the FDA to Lower the Risk of Stroke and Heart Attack in Obese NON Diabetics

I am not trying to push the use of this drug. I am just looking for answers to the hopeless feeling of seeing another patient with a BMI over 35 who needs wound care.

BREAKING NEWS! 8 MACs Release Draft LCDs for Cellular Tissue Products (CTPs) / Skin Subs (Yes, There is an Annual Limit)

Yesterday morning, 8 MACs issued nearly identical draft coverage policies for the use of CTPs (“skin subs”) in diabetic foot ulcers and venous leg ulcers.

Musing About Misphonia and Gum Chewing With Your Mouth Open

I don’t know whether giving the condition a name is helpful to those who are affected by it, but maybe doing so will make it easier for us to talk about it with patients and friends.

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).

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.

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

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.

Guide to the Lymphatic System

A series of articles to summarize more than two decades of work in lymphatic imaging. Click here to read more.

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