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Business Briefs

Business Briefs
Make Sure to Comply With Existing Rules Before the 2024 Final Rules Are Released
10/20/2023
Kathleen D. Schaum, MS
This article reviews some errors that caused claim denials and repayments this year. These errors and subsequent denials/repayments are easily avoided. Simply share the information with your team and agree to tighten up your coding and...
This article reviews some errors that caused claim denials and repayments this year. These errors and subsequent denials/repayments are easily avoided. Simply share the information with your team and agree to tighten up your coding and...
This article reviews some errors...
10/20/2023
Today's Wound Clinic
Business Briefs
Autologous Blood-Derived Products for Chronic, Non-Healing Wounds: Frequently Asked Reimbursement Questions
09/12/2023
Kathleen D. Schaum, MS
An increasing number of physicians and other QHPs continue to incorporate autologous blood-derived products for chronic, non-healing wounds into the care plans of their patients. Consequently, this author/consultant has been deluged with...
An increasing number of physicians and other QHPs continue to incorporate autologous blood-derived products for chronic, non-healing wounds into the care plans of their patients. Consequently, this author/consultant has been deluged with...
An increasing number of...
09/12/2023
Today's Wound Clinic

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Business Briefs
As CTP Coverage Changes, Focus on What You Can and Should Do!
08/24/2023
Kathleen D. Schaum, MS
These final coverage documents will become effective on September 17, 2023. Therefore, the stakeholders who apply CTPs to Medicare beneficiaries in the affected states must act quickly to educate the pertinent professionals and revenue cycle...
These final coverage documents will become effective on September 17, 2023. Therefore, the stakeholders who apply CTPs to Medicare beneficiaries in the affected states must act quickly to educate the pertinent professionals and revenue cycle...
These final coverage documents...
08/24/2023
Today's Wound Clinic
Business Briefs
Consider Incorporating Principal Care Management Services Into Your Practice
07/20/2023
Kathleen D. Schaum, MS
All the Care Management Services codes include establishing, implementing, revising, or monitoring the care plan, coordinating the care of other professionals and agencies, and educating the patient or caregiver about the patient’s condition,...
All the Care Management Services codes include establishing, implementing, revising, or monitoring the care plan, coordinating the care of other professionals and agencies, and educating the patient or caregiver about the patient’s condition,...
All the Care Management Services...
07/20/2023
Today's Wound Clinic
Business Briefs
CTPs Continue to Make the News!
06/21/2023
Kathleen D. Schaum, MS
The following are the CTP news highlights that should interest wound/ulcer management manufacturers and professionals.
The following are the CTP news highlights that should interest wound/ulcer management manufacturers and professionals.
The following are the CTP news...
06/21/2023
Today's Wound Clinic

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Business Briefs
Questions About the Application of CTPs Continue
05/18/2023
Kathleen D. Schaum, MS
This author answers questions posed by the audience at her SAWC Spring session on CTP reimbursement.
This author answers questions posed by the audience at her SAWC Spring session on CTP reimbursement.
This author answers questions...
05/18/2023
Today's Wound Clinic
Business Briefs
In 2023, Will CMS Assign HCPCS “A” or “Q” Codes to New CTPs?
04/28/2023
Kathleen D. Schaum, MS
At least once a week since the beginning of 2023, this author/consultant has received multiple inquiries from wound/ulcer management professionals and manufacturers who want to know if a new CTP for skin wounds was, or will be, assigned a...
At least once a week since the beginning of 2023, this author/consultant has received multiple inquiries from wound/ulcer management professionals and manufacturers who want to know if a new CTP for skin wounds was, or will be, assigned a...
At least once a week since the...
04/28/2023
Today's Wound Clinic
Business Briefs
Do You Have a Compliant Electronic Health Record Documentation and Signature Process?
03/31/2023
Kathleen D. Schaum, MS
This author poses 4 signature scenarios/questions 1) in an interview with Donna Cartwright, MPA, RHIA, CCS, RAC, FAHIMA, a consultant who has a wealth of experience performing wound/ulcer management medical record reviews, and 2) to one of...
This author poses 4 signature scenarios/questions 1) in an interview with Donna Cartwright, MPA, RHIA, CCS, RAC, FAHIMA, a consultant who has a wealth of experience performing wound/ulcer management medical record reviews, and 2) to one of...
This author poses 4 signature...
03/31/2023
Today's Wound Clinic

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Business Briefs
Medicare Administrative Contractors Are Audited and Auditing: Learn From the Results
02/23/2023
Kathleen D. Schaum, MS
Although CERT audits are not focused directly on professionals, providers, and suppliers, these stakeholders should not ignore CERT audit record requests. This author looks at the major repayment reasons to learn from the 2022 CERT report.
Although CERT audits are not focused directly on professionals, providers, and suppliers, these stakeholders should not ignore CERT audit record requests. This author looks at the major repayment reasons to learn from the 2022 CERT report.
Although CERT audits are not...
02/23/2023
Today's Wound Clinic
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

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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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