by Caroline Fife, M.D. | Aug 26, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Together with John C. Rasmussen, PhD., Melissa B. Aldrich, PhD., Renie Guilliod, MD, Thomas F. O’Donnell Jr., MD, and Eva M. Sevick-Muraca, PhD., we have published a new paper open access via ScienceDirect. “Near-infrared fluorescence lymphatic imaging in...
by Caroline Fife, M.D. | Aug 25, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Last week I spent a lot of time trying to explain the ICD-10 code for “late effects of radiation” and why it was “right” even thought it seems wrong because it is in “injury and poisoning” code. That gets me to the straight talk topic of “who decides what the right...
by Caroline Fife, M.D. | Aug 24, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
In July, CMS announced a proposed new model of funding for home healthcare that will affect the delivery of wound care provided by home nursing. The model, included in the CY 2016 Home Health Prospective Payment System proposed rule, updates payments and requirements...
by Caroline Fife, M.D. | Aug 21, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Good morning and Happy Friday! Friday’s on the blog are reserved for “Ask the Physician Friday.” If you have any questions for me please feel free to leave them in the comments below, ask on Twitter (@carolinefifemd), or on Facebook (@Woodlands Wound Physicians). I...
by Caroline Fife, M.D. | Aug 20, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Health Information Technology and Wound Care, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
Here’s a note from a hospital EHR. The nurse has typed into the record so it’s legible, but you can’t use the data for anything because there’s no place to put or retrieve measurements or wound products and no place to put photos. This is what is happening in most...
by Caroline Fife, M.D. | Aug 19, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Last week I showed you the abnormally low transcutaneous oximetry of a woman after radiation to the axillae with single digit TCOM values. With oxygen breathing, the two really low values improve but not up to normal like the one that is over 200 mmHg. I did an oxygen...
by Caroline Fife, M.D. | Aug 18, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Last week I mentioned ICD-10 so I thought it might be interesting to discuss why using the right “words” in the chart, to get a coder to code correctly for HBOT, is going to be very tricky. I’m going to try to explain this for “late effects of radiation” but it IS...
by Caroline Fife, M.D. | Aug 14, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Good morning and Happy Friday! Friday’s on the blog are reserved for “Ask the Physician Friday.” If you have any questions for me please feel free to leave them in the comments below, ask on Twitter (@carolinefifemd), or on Facebook (@Woodlands Wound Physicians). I...
by Caroline Fife, M.D. | Aug 13, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
Here is a note from a doctor I worked with for years who is one of the best clinicians I ever had the privilege to practice with. I hope they won’t read this blog and ever find out that I used one of their notes as an example of a fabulous doctor with illegible...
by Caroline Fife, M.D. | Aug 12, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Yesterday I discussed the challenges of ICD-10 coding late effects of radiation. Last week I showed you the axillae of a lady after breast cancer who had radiation changes and a non-healing wound. Her transcutaneous oximetry values on leads 1 and 3 were 8mmHg and...
