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From the Editor

Letter from the Editor
Goodbye Volume, Hello Value
09/30/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
How much of your time do you spend focused on volume-based payment (the way you have always done things) vs. the new value-based system? Are you beginning the transition away from volume-based payment, or hoping you can retire before you have...
How much of your time do you spend focused on volume-based payment (the way you have always done things) vs. the new value-based system? Are you beginning the transition away from volume-based payment, or hoping you can retire before you have...
How much of your time do you...
09/30/2019
Today's Wound Clinic
From the Editor
How NPWT Changed Wound Care and Why We Need to Think Like Oncologists
09/03/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
My suite-mate in college used to refer to vacuuming as “Hoovering.” The first manufacturer of technology often becomes synonymous for the technology itself. I still remember the first time a representative from KCI came to talk to me about a...
My suite-mate in college used to refer to vacuuming as “Hoovering.” The first manufacturer of technology often becomes synonymous for the technology itself. I still remember the first time a representative from KCI came to talk to me about a...
My suite-mate in college used to...
09/03/2019
Today's Wound Clinic
Letter from the Editor
A Way to Save Wound Care
08/02/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
Normally we would remove a physician with numbers like that from our provider network.” That’s what the chief medical officer of a clinically integrated network (CIN) said on this week’s monthly physician advisory board conference...
Normally we would remove a physician with numbers like that from our provider network.” That’s what the chief medical officer of a clinically integrated network (CIN) said on this week’s monthly physician advisory board conference...
Normally we would remove a...
08/02/2019
Today's Wound Clinic

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From the Editor
Nutrition, Wound Healing, and Standing on the Shoulders of Giants
07/03/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
In about 1991, I was a new faculty member at the University of Texas Health Science Center in Houston. One quiet Saturday morning I took my Mom and Dad to see the original section of Hermann Hospital, a Spanish Colonial building dating to...
In about 1991, I was a new faculty member at the University of Texas Health Science Center in Houston. One quiet Saturday morning I took my Mom and Dad to see the original section of Hermann Hospital, a Spanish Colonial building dating to...
In about 1991, I was a new...
07/03/2019
Today's Wound Clinic
From the Editor
For Wound Care Formularies, It’s the Infrastructure, Stupid
06/07/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
A 2018 Navigant report1 found that two-thirds of health systems saw operating income decline between fiscal year (FY) 2015 and FY 2017. Among those hospitals experiencing a decline in operating earnings, the average drop was a staggering 44%....
A 2018 Navigant report1 found that two-thirds of health systems saw operating income decline between fiscal year (FY) 2015 and FY 2017. Among those hospitals experiencing a decline in operating earnings, the average drop was a staggering 44%....
A 2018 Navigant report1 found...
06/07/2019
Today's Wound Clinic
From the Editor
Would Medicare for All Mean Healthcare for None?
05/13/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
As the U.S. political left fully embraces socialism publicly and more Americans go without care because their private insurance has a staggering annual deductible, there’s more support for socializing U.S. healthcare. There was talk about...
As the U.S. political left fully embraces socialism publicly and more Americans go without care because their private insurance has a staggering annual deductible, there’s more support for socializing U.S. healthcare. There was talk about...
As the U.S. political left fully...
05/13/2019
Today's Wound Clinic

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From the Editor
How Can We Train Physicians To Avoid ‘Wound Care 101’ Pitfalls?
04/09/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
A wound is not a disease; it is a symptom. If a patient has a nonhealing wound, there’s a reason for it and our job is to figure out that reason. We can list the likely reasons statistically, depending on the location of the wound and a few...
A wound is not a disease; it is a symptom. If a patient has a nonhealing wound, there’s a reason for it and our job is to figure out that reason. We can list the likely reasons statistically, depending on the location of the wound and a few...
A wound is not a disease; it is...
04/09/2019
Today's Wound Clinic
From the Editor
Thoughts on Sisyphus and Rehospitalization
03/11/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
There is a word that describes most of my Mondays in the wound clinic: Sisyphean. You probably remember the  Greek myth of Sisyphus, who was condemned by the gods to roll a boulder up a hill only to have it roll down again, a laborious task...
There is a word that describes most of my Mondays in the wound clinic: Sisyphean. You probably remember the  Greek myth of Sisyphus, who was condemned by the gods to roll a boulder up a hill only to have it roll down again, a laborious task...
There is a word that describes...
03/11/2019
Today's Wound Clinic
From the Editor
The True 'Cost' of Healing Most Wounds
02/08/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
The repeated message of delivering a better than 90% healing rate has convinced payers that advanced therapeutics are overutilized, or at least not worth the price tag. The fine print is that we heal everyone, “except for the outliers.” The...
The repeated message of delivering a better than 90% healing rate has convinced payers that advanced therapeutics are overutilized, or at least not worth the price tag. The fine print is that we heal everyone, “except for the outliers.” The...
The repeated message of...
02/08/2019
Today's Wound Clinic

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From the Editor
Hyperbaric Medicine’s New Specialty Coding
01/09/2019
Caroline E. Fife, MD, FAAFP, CWS, FUHM
You may have heard a few firecrackers on New Year’s Eve, but the biggest fireworks in our industry went off Jan. 7. That’s because the Centers for Medicare & Medicaid Services (CMS) has established a new physician specialty code for Undersea...
You may have heard a few firecrackers on New Year’s Eve, but the biggest fireworks in our industry went off Jan. 7. That’s because the Centers for Medicare & Medicaid Services (CMS) has established a new physician specialty code for Undersea...
You may have heard a few...
01/09/2019
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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