NEWS & WEBINARS

Here are few examples of your letters around claim denials due to the “experimental” nature of [certain] amniotic products. The post Are Amniotics Experimental – Like Medicare Auditors Say They Are? appeared first on Caroline Fife M.D..

Attorney Knicole Emanuel has posted a blog explaining that under some circumstances, an appeals case can be escalated to a Federal District Court. The post Check Out Attorney Knicole Emanuel’s Post About Escalating Medicare Provider Audits to Federal District Court appeared first on Caroline Fife M.D..

Last week, subscribers to CMS (Centers for Medicare and Medicaid Services) listservs got a very short email announcing that CMS is reopening the call for clinical evidence on skin substitutes. The post CMS Has Quietly Reopened the Skin Substitute Evidence Door appeared first on Caroline Fife M.D..

CMS is inviting comments on all these proposals and it is easy for you to make your voice heard during the comment period. The post The Physician Fee Schedule Proposed Rule is Out! appeared first on Caroline Fife M.D..

The Subcommittee on Health Care and Financial Services Chairman Glenn Grothman (R-Wis.) announced a roundtable on “Medicare Fraud: Examining the Explosive Growth in Skin Substitute Spending". The post This Tuesday July 21 – Watch the Livestream Roundtable: Medicare Fraud: Examining the Explosive Growth in Skin Substitute Spending appeared first on Caroline Fife M.D..

I have gotten quite a few emails and calls from readers (and their attorneys) about audits focused on skin subs and debridements. Many practitioners simply do not have sufficient documentation to defend the denied claims and honestly, there’s not much that can be done if the information required to support the claim is just not in the chart. For the The post What do Successful Medicare Appeals Have in Common? (Knicole Emanuel’s Recent Blog) appeared first on Caroline Fife M.D..

Skin substitutes aid in wound healing, but some bad actors tried to take advantage of an under-regulated system. The post Skin Substitute Fraud Indictments Update appeared first on Caroline Fife M.D..