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From the Editor

From the Editor
The Fairy Tale is Over in the Wound Center
06/07/2021
Caroline E. Fife, MD, FAAFP, CWS, FUHM
In this unhappy tale, no prince is going to show up on his white horse to rescue me from the confines of the HOPD and the evil forces of so-called insurance, but honestly, it’s the patients who need rescuing.
In this unhappy tale, no prince is going to show up on his white horse to rescue me from the confines of the HOPD and the evil forces of so-called insurance, but honestly, it’s the patients who need rescuing.
In this unhappy tale, no prince...
06/07/2021
Today's Wound Clinic

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Thoughts on the COVID-19 Blues, Volcanic Eruptions, and Perspective
From the Editor
Thoughts on the COVID-19 Blues, Volcanic Eruptions, and Perspective
03/12/2021
Caroline E. Fife, MD, FAAFP, CWS, FUHM
For many years I kept a postcard depicting The Eruption of Mt. Vesuvius taped to my bathroom mirror. Painted by Pierre-Jacques Volaire in 1777, it depicts the cataclysmic day in 79 A.D. when the ancient Roman city of Pompeii was buried under...
For many years I kept a postcard depicting The Eruption of Mt. Vesuvius taped to my bathroom mirror. Painted by Pierre-Jacques Volaire in 1777, it depicts the cataclysmic day in 79 A.D. when the ancient Roman city of Pompeii was buried under...
For many years I kept a postcard...
03/12/2021
Today's Wound Clinic
A New Digital Era for TWC
From the Editor
A New Digital Era for TWC
12/02/2020
Brian McCurdy, Managing Editor
In 2020, as the COVID-19 pandemic has forced so many people to work from home, we’ve all become used to looking more at digital screens thanks to the ubiquitous Zoom meeting. We’ve warmed to the video and podcast content that harnesses the...
In 2020, as the COVID-19 pandemic has forced so many people to work from home, we’ve all become used to looking more at digital screens thanks to the ubiquitous Zoom meeting. We’ve warmed to the video and podcast content that harnesses the...
In 2020, as the COVID-19...
12/02/2020
Today's Wound Clinic
What My Experiences Have Taught Me About Meritless Malpractice Cases
From the Editor
What My Experiences Have Taught Me About Meritless Malpractice Cases
10/05/2020
Caroline E. Fife, MD, FAAFP, CWS, FUHM
I vividly remember my first malpractice suit. In the 1980s there were no rules about how many hours resident physicians worked. Like most of my colleagues, I worked over 100 hours a week. It’s not surprising that after two years, I succumbed...
I vividly remember my first malpractice suit. In the 1980s there were no rules about how many hours resident physicians worked. Like most of my colleagues, I worked over 100 hours a week. It’s not surprising that after two years, I succumbed...
I vividly remember my first...
10/05/2020
Today's Wound Clinic

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How Our Team Manages Multidisciplinary Collaborative Care
From the Editor
How Our Team Manages Multidisciplinary Collaborative Care
08/04/2020
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Debi Thompson, RN, WCC
Tara Stone
I am really proud of our wound clinic team and since the theme of this issue is multidisciplinary care, I interviewed them about their role in patient care and their perspective on collaborative practice. Here are the responses by our lead...
I am really proud of our wound clinic team and since the theme of this issue is multidisciplinary care, I interviewed them about their role in patient care and their perspective on collaborative practice. Here are the responses by our lead...
I am really proud of our wound...
08/04/2020
Today's Wound Clinic
Courage and Fortitude in the Time of COVID-19
From the Editor
Courage and Fortitude in the Time of COVID-19
04/03/2020
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Last month, on March 8, I went to visit my 94-year-old Mother. She is an extreme statistical outlier because she requires no medications, lives alone in her own home, and drives round trip to Houston once a week (180 miles). That weekend, we...
Last month, on March 8, I went to visit my 94-year-old Mother. She is an extreme statistical outlier because she requires no medications, lives alone in her own home, and drives round trip to Houston once a week (180 miles). That weekend, we...
Last month, on March 8, I went...
04/03/2020
Today's Wound Clinic
Winning the Technology Race in Wound Care
From the Editor
Winning the Technology Race in Wound Care
02/03/2020
Caroline E. Fife, MD, FAAFP, CWS, FUHM
I have been thinking about technology in wound care and the meaning of value. I remember the space race of the 1960s even though I was a child, because my Dad was at the School of Aerospace Medicine where human physiology research was being...
I have been thinking about technology in wound care and the meaning of value. I remember the space race of the 1960s even though I was a child, because my Dad was at the School of Aerospace Medicine where human physiology research was being...
I have been thinking about...
02/03/2020
Today's Wound Clinic

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How Wound Care May Change, for Better and Worse, in 2020
From the Editor
How Wound Care May Change, for Better and Worse, in 2020
01/09/2020
Caroline E. Fife, MD, FAAFP, CWS, FUHM
A lot changed for me in 2019. I became a widow, sold the house we lived in for 29 years, moved into a rented townhouse, got my daughter off to college and my son off to graduate school. Thankfully, even the most difficult life changes have at...
A lot changed for me in 2019. I became a widow, sold the house we lived in for 29 years, moved into a rented townhouse, got my daughter off to college and my son off to graduate school. Thankfully, even the most difficult life changes have at...
A lot changed for me in 2019. I...
01/09/2020
Today's Wound Clinic
Letter from the Editor
The Handwriting on the Wall for Wound Management
12/05/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
We are at an important crossroads in the field of wound management. From the perspective of new technologies, the future is bright. Unfortunately, the future of the field itself is dismal. Under Medicare’s new Quality Payment Program (QPP),...
We are at an important crossroads in the field of wound management. From the perspective of new technologies, the future is bright. Unfortunately, the future of the field itself is dismal. Under Medicare’s new Quality Payment Program (QPP),...
We are at an important...
12/05/2019
Today's Wound Clinic
From the Editor
Medicare (Non) Coverage for Debridement: The WPS LCD and What We Really Need to Worry About
11/06/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
A new Local Coverage Determination (LCD) for debridement does not include diabetic foot ulcers in the list of conditions for which debridement is covered. However, the real omission may be “the wounds with no name.” Wisconsin Physicians...
A new Local Coverage Determination (LCD) for debridement does not include diabetic foot ulcers in the list of conditions for which debridement is covered. However, the real omission may be “the wounds with no name.” Wisconsin Physicians...
A new Local Coverage...
11/06/2019
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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