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...
by Caroline Fife, M.D. | Aug 11, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
ICD-10 has completely consumed my time in the past few weeks. Let’s talk straight about how this is going to work for wound care and hyperbaric medicine. There are 2 fundamental ways coding has ALWAYS worked, even with ICD-9. Option #1: The doctor knows the codes...
by Caroline Fife, M.D. | Jul 22, 2015 | Fight the Good Fight, Health Information Technology and Wound Care
Here’s a patient I’ve talked to extensively about nutrition. In fact, that’s about the only intervention I’ve provided and she’s nearly healed her wounds. It might be time for us to think about “food as medicine”. Caroline Fife, M.D.Dr. Fife is a world renowned wound...
by Caroline Fife, M.D. | Jul 2, 2015 | Cassandra Chronicles: Regulatory and Coverage Policy, Miscellaneous Musings, Pressure Cooker: Rethinking Pressure Ulcers, US Wound Registry
In recognition of the upcoming Independence Day holiday, I’m honoring Dr. James Tilton (June 1, 1745—May 14, 1822) an American physician and soldier from Dover, Delaware. He attended the College of Philadelphia (later the University of Pennsylvania) earning his...