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Volume 9 Issue 8 - October 2015

Column

Reader Reports
Reader Report: Tell Us Your Auditing Story
10/20/2015
For our most recent reader survey, Today’s Wound Clinic asked readers to share their experiences regarding audits that have occurred in their outpatient wound clinics. Here, we offer some of your anonymous stories. Thanks to all those who...
For our most recent reader survey, Today’s Wound Clinic asked readers to share their experiences regarding audits that have occurred in their outpatient wound clinics. Here, we offer some of your anonymous stories. Thanks to all those who...
For our most recent reader...
10/20/2015
Today's Wound Clinic
Business Briefs
Will You Be Able to Keep Your Medicare Payment After An Audit?
10/19/2015

Kathleen D. Schaum, MS

Kathleen D. Schaum, MS
Information regarding coding, coverage, and payment is provided as a service to our readers. Every effort has been made to ensure the accuracy of the information. However, HMP Communications and the authors do not represent, guarantee, or...
Information regarding coding, coverage, and payment is provided as a service to our readers. Every effort has been made to ensure the accuracy of the information. However, HMP Communications and the authors do not represent, guarantee, or...
Information regarding coding,...
10/19/2015
Today's Wound Clinic

Department

Letters to the Editor
Letter to the Editor
10/20/2015
Samantha Kuplicki, BSN, RN, CWS, CWCN, CFCN
Samantha Kuplicki, BSN, RN, CWS, CWCN...
Dear Editor:
Dear Editor:
Dear Editor:
10/20/2015
Today's Wound Clinic
HBOT
Prior Authorization & Nonemergent HBOT: Update for Providers in Outpatient Wound Care
10/20/2015

Caroline E. Fife, MD, FAAFP, CWS, FUHM, & Helen Gelly, MD, FACCWS, UHM/ABPM, FUHM

Caroline E. Fife, MD, FAAFP, CWS, FUH...
CMS officials believe they can reduce HBOT spending while maintaining or improving quality of care by ensuring services are provided in compliance with Medicare coverage and payment rules before the claims are paid. This article provides an...
CMS officials believe they can reduce HBOT spending while maintaining or improving quality of care by ensuring services are provided in compliance with Medicare coverage and payment rules before the claims are paid. This article provides an...
CMS officials believe they can...
10/20/2015
Today's Wound Clinic

Insights

Commentary
Commentary: Guest Editorial
10/20/2015
Gerard J. Gianoli, MD
Gerard J. Gianoli, MD
There was a saying among workers in the old Soviet Union: “They pretend to pay us and we pretend to work.” They were partly joking and partly serious. In a centrally planned economy, workers are not paid their true worth and, consequently,...
There was a saying among workers in the old Soviet Union: “They pretend to pay us and we pretend to work.” They were partly joking and partly serious. In a centrally planned economy, workers are not paid their true worth and, consequently,...
There was a saying among workers...
10/20/2015
Today's Wound Clinic

Feature

Infographic
Industry Insider: An Inside Look at Intellicure Inc.
10/20/2015
For this month’s feature, Today’s Wound Clinic speaks with Caroline Fife, MD, FAAFP, CWS, FUHM, chief medical officer about the company’s EHR approach to ICD-10-CM conversion.   Today’s Wound Clinic (TWC): What are some of the major...
For this month’s feature, Today’s Wound Clinic speaks with Caroline Fife, MD, FAAFP, CWS, FUHM, chief medical officer about the company’s EHR approach to ICD-10-CM conversion.   Today’s Wound Clinic (TWC): What are some of the major...
For this month’s feature,...
10/20/2015
Today's Wound Clinic
Quality Measures Resource Guide: Our New Future With ICD-10-CM
10/20/2015
Eric J. Lullove, DPM, CWS, FACCWS
Eric J. Lullove, DPM, CWS, FACCWS ...
Well, after just a few weeks of living with ICD-10-CM, I’m sure some to most of us in the industry are befuddled, confused, irritated, and/or maligned due to the coding changes implemented Oct.1. As much as this is to be expected, I want to...
Well, after just a few weeks of living with ICD-10-CM, I’m sure some to most of us in the industry are befuddled, confused, irritated, and/or maligned due to the coding changes implemented Oct.1. As much as this is to be expected, I want to...
Well, after just a few weeks of...
10/20/2015
Today's Wound Clinic
Audits
4 Steps to Achieving Audit Success
10/20/2015

M. Darlene Carey, MBA

M. Darlene Carey, MBA
Notice of an audit can elicit fear and concern. Practice these approaches to better ensure more successful outcomes and less stress.  
Notice of an audit can elicit fear and concern. Practice these approaches to better ensure more successful outcomes and less stress.  
Notice of an audit can elicit...
10/20/2015
Today's Wound Clinic
Audits
How to Prepare for Your Pending Audit
10/20/2015

Barbara Aung, DPM, CWS, CPMA, CSFAC

Barbara Aung, DPM, CWS, CPMA, CSFAC ...
Receiving an audit notification letter can be very unsettling for any healthcare provider. Successfully navigating the process begins with appropriate preparation. This article will help your chances for audit “success” by offering a guide...
Receiving an audit notification letter can be very unsettling for any healthcare provider. Successfully navigating the process begins with appropriate preparation. This article will help your chances for audit “success” by offering a guide...
Receiving an audit notification...
10/20/2015
Today's Wound Clinic
Audits
Understanding the Post-Payment Review Process
10/19/2015

Valerie Larson-Lohr, MSN, APRN

Valerie Larson-Lohr, MSN, APRN ...
Auditing bodies and auditors can be as unique as the patients you’re treating. This guide will help explain the differences among those groups that can audit your wound clinic and will discuss what they may be looking for when auditing...
Auditing bodies and auditors can be as unique as the patients you’re treating. This guide will help explain the differences among those groups that can audit your wound clinic and will discuss what they may be looking for when auditing...
Auditing bodies and auditors can...
10/19/2015
Today's Wound Clinic

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Today's Wound Clinic Newsletter

Letter From the Editor

Guest Editorial
Advocate for Your Wound Care Patients on the Proposed MAC Policy on CTPs
05/29/2024
Eric J. Lullove, DPM, CWSP
The MACs recently released proposed coverage policy updates for applying CTPs for DFUs and VLUs. This is your opportunity to effect change by submitting comments to the MACs before the policy becomes final. You have a responsibility to know...
The MACs recently released proposed coverage policy updates for applying CTPs for DFUs and VLUs. This is your opportunity to effect change by submitting comments to the MACs before the policy becomes final. You have a responsibility to know...
The MACs recently released...
05/29/2024
Today's Wound Clinic
From the Editor
The Future of Wound Care in the Quality Payment Program
03/13/2024
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Whether we will be able to survive as wound care practitioners will, at least in part, depend on having quality measures that are relevant to what we actually do.
Whether we will be able to survive as wound care practitioners will, at least in part, depend on having quality measures that are relevant to what we actually do.
Whether we will be able to...
03/13/2024
Today's Wound Clinic
From the Editor
The Non-Pressure Ulcer Episode-Based Cost Measure "Field Test" Began Feb. 1
02/05/2024
Caroline E. Fife, MD, FAAFP, CWS, FUHM
For years I have been explaining how the QPP could be the end of wound care practitioners. The entire QPP is designed around recognized medical specialties and since there is no recognized specialty for wound care, we are all in trouble.
For years I have been explaining how the QPP could be the end of wound care practitioners. The entire QPP is designed around recognized medical specialties and since there is no recognized specialty for wound care, we are all in trouble.
For years I have been explaining...
02/05/2024
Today's Wound Clinic
Guest Editorial
The G-Code Solution to Skin Substitute Reimbursement
01/25/2024
Shaun Carpenter MD, CWSP
I am calling on CMS to adopt new G codes to replace Q code reimbursement and CPT 15000 codes for skin substitute application procedures and to establish skin substitute product code classes.
I am calling on CMS to adopt new G codes to replace Q code reimbursement and CPT 15000 codes for skin substitute application procedures and to establish skin substitute product code classes.
I am calling on CMS to adopt new...
01/25/2024
Today's Wound Clinic
Guest Editorial
Wound Size Matters: Analysis of the New Restrictive Skin Substitute LCD Policy
09/01/2023
Shaun Carpenter MD, CWSP, WMS
With so much ambiguity remaining, an immediate compromise on the number of applications to allow 7 is warranted both from an ethical and medical perspective. The current restriction of 4 applications is clearly not based on an accurate...
With so much ambiguity remaining, an immediate compromise on the number of applications to allow 7 is warranted both from an ethical and medical perspective. The current restriction of 4 applications is clearly not based on an accurate...
With so much ambiguity...
09/01/2023
Today's Wound Clinic
Guest Editorial
Wrestling With Implicit Bias to Deliver Better Care for Our Patients
06/01/2023
Monique L. Abner, MD, CWSP
For some, bias remains a sensitive issue, and some people are reluctant to admit to the need for introspection. However, to mitigate the ill effects of bias, everyone must first acknowledge that it exists.
For some, bias remains a sensitive issue, and some people are reluctant to admit to the need for introspection. However, to mitigate the ill effects of bias, everyone must first acknowledge that it exists.
For some, bias remains a...
06/01/2023
Today's Wound Clinic
From the Editor
Confessions of a Doctor With Lipedema
03/14/2023
Caroline E. Fife, MD, FAAFP, CWS, FUHM
It is hard to understand how demoralizing it is. Lipedema affects your entire life, starting in the teenage years.
It is hard to understand how demoralizing it is. Lipedema affects your entire life, starting in the teenage years.
It is hard to understand how...
03/14/2023
Today's Wound Clinic
From the Editor
Why Won’t the DME Provide Dressings for My Patient?
02/23/2023
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Maybe Because Of My Documentation
Maybe Because Of My Documentation
Maybe Because Of My...
02/23/2023
Today's Wound Clinic
Guest Editorial
How Wound Care Providers Can Treat Patients Like People, Not Like Cases
02/01/2023
Morgan McCoy
Finding a skilled wound care professional comes down finding someone who is confident in their skill/craft—someone who treats the whole patient, not just the wound. Finding someone who would see me as a person and a whole being rather than...
Finding a skilled wound care professional comes down finding someone who is confident in their skill/craft—someone who treats the whole patient, not just the wound. Finding someone who would see me as a person and a whole being rather than...
Finding a skilled wound care...
02/01/2023
Today's Wound Clinic
Guest Editorial
Amputations in Pyoderma Gangrenosum Patients: Underreported or Very Rare?
01/11/2023
Shannon Kody, MD
Alex G. Ortega-Loayza, MD, MCR
Are providers missing the diagnosis of PG because they are anchoring on “positive” biopsy findings? Could we be missing cases in which PG patients underwent amputation, didn’t have a recurrence, and were never diagnosed? Or are we just not...
Are providers missing the diagnosis of PG because they are anchoring on “positive” biopsy findings? Could we be missing cases in which PG patients underwent amputation, didn’t have a recurrence, and were never diagnosed? Or are we just not...
Are providers missing the...
01/11/2023
Today's Wound Clinic

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Coping With COVID-19

Business Briefs
Telehealth Use Continues and Receives Further Medicare Payment 
01/25/2023
Kathleen D. Schaum, MS
The COVID-19 PHE has been extended for 90 more days. This author reviews the Medicare telehealth flexibility extensions that may be important to wound/ulcer management professionals.
The COVID-19 PHE has been extended for 90 more days. This author reviews the Medicare telehealth flexibility extensions that may be important to wound/ulcer management professionals.
The COVID-19 PHE has been...
01/25/2023
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency Waivers Q&A
09/07/2022
Kathleen D. Schaum, MS
This author answers more questions about what will happen to telehealth and other waivers when the COVID-19 PHE ends.
This author answers more questions about what will happen to telehealth and other waivers when the COVID-19 PHE ends.
This author answers more...
09/07/2022
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency Extension Also Applies to Telehealth
08/15/2022
Kathleen D. Schaum, MS
The COVID-19 Public Health Emergency (PHE) is extended through October 13, 2022. Many wound/ulcer management professionals have been using telehealth and should be happy to know that the Medicare waivers pertaining to telehealth have also...
The COVID-19 Public Health Emergency (PHE) is extended through October 13, 2022. Many wound/ulcer management professionals have been using telehealth and should be happy to know that the Medicare waivers pertaining to telehealth have also...
The COVID-19 Public Health...
08/15/2022
Today's Wound Clinic
Business Briefs
The COVID-19 Public Health Emergency, Coding Changes, and Coverage Changes Continue
02/09/2022
Kathleen D. Schaum, MS
For this month, let us review the continuation of the COVID-19 public health emergency (PHE), and the continuation of the ever-changing codes and coverage.
For this month, let us review the continuation of the COVID-19 public health emergency (PHE), and the continuation of the ever-changing codes and coverage.
For this month, let us review...
02/09/2022
Today's Wound Clinic

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October 2015 Volume 9 Issue 8

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Editorial Staff

Brian McCurdy, Managing Editor

Editorial Correspondence

Brian McCurdy, Managing Editor

bmccurdy@hmpglobal.com

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