NEWS & WEBINARS

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..

Since most patients with chronic non-healing wounds are obese, I have been watching the “GLP-1 revolution” with interest. I have described the hopeless feeling of seeing one obese patient after another with chronic wounds (some of whom fall asleep while you are talking to them due to untreated sleep apnea). Yes, this is a multifactorial The post The Medicare GLP-1 Bridge: The Medicare Demonstration Program to Provide GLP-1 Medications for Obesity at $50 per Month Began July 1, 2026 appeared first on Caroline Fife M.D..

The legal fight over how Medicare pays for skin substitutes is back in court! Here’s a guest blog by Dr. Ryan Mathis to explain it. The post The Skin Substitute Lawsuit, Round Two: Guest blog by Dr. Ryan Mathis appeared first on Caroline Fife M.D..

Just in time for the 4th of July holiday! CMS just released the Hospital Outpatient Prospective Payment proposed rule! The post CMS Just Released the OPPS Proposed Rule and the Skin Substitute Payment Rate Stayed the Same! appeared first on Caroline Fife M.D..