MIPS could work, if US Wound Registry wound care relevant quality measures were available in every electronic health record (EHR).

…”now that skin sub manufacturers’ revenue has plummeted, support for clinical research (with a few notable exceptions) has plummeted.”

We will have to wait to find out if audits will lessen now that the new pricing structure has dramatically decreased the monetary incentive for audits.

The deadline for the CAMPs Initiative to appeal the court’s decision was May 11, 2026. Here’s an update about what happened by Dr. Mathis.

UnitedHealth and CVS Health announced that they have standardized data and submission requirements for more than half their prior authorizations (PAs).

2026 is the 6th year that practitioners could lose up to 9% of their Medicare claims under MIPS.

Dr. Jay Shah, President of the Texas Medical Association (TMA) has provided this guest blog about what the TMA is doing to monitor the issue of pharmacy benefit plan limitations on drug access.

The update represents a formalized mechanism for providers to raise concerns directly with CMS regarding Medicare Advantage plans.

CMS released an updated Medicare Learning Network (MLN) publication outlining 2026 changes.

On December 22, 2025, CMS implemented an online form on cms.gov for providers that need to report a complaint about a Medicare Advantage plan.

MEDPAC has been recommending site neutrality for decades, and perhaps the powers that be at CMS are listening.

This is a rare and wonderful opportunity to have your voice heard by a powerful state medical association (with a president who is a wound care expert!)

CMS is going to create a wound-relevant cost measure no matter what. Let’s make sure it is as accurate and fair as possible.

On Jan. 8, 2026, HMP posted the first part of my interview on “The Impact of CTP Changes on Provider Types.”

The Texas Medical Association (TMA) has a new education sheet to guide clinicians through services...

I hope those of you who are experts at the appeals process will provide some information in a guest blog about the EAJR process.

CMS has posted the Cost Measure Field Test reports on the QPP website! It’s time for you to download yours!

Field Test Reports for eligible clinicians and clinician groups will be available on the Quality Payment Program Portal beginning January 29.

CMS is holding office hours with specialty societies and organizations to provide information about the upcoming field testing period.

I will be posting a series of blogs explaining this in more painful detail, including a step by step guide to download your Field Test report.

I attended the Noridian informational call on the Wasteful and Inappropriate Service Reduction (WISeR) model.

Medicare fee for service (FFS) does not pay for discarded amounts of “incident to supplies” (which is how all non-BLA CTPs/skin subs are now classified) and will only pay for the amount of product furnished.

Price controls are better for patients, Accountable Care Organizations, secondary insurers, tax payers, and the Medicare trust fund.

The application of a Cellular Tissue Product (CTP) / skin substitute, a surgical procedure, is out of the scope of a registered nurse.

To address errors with the 2024 MIPS final scores, CMS says participants have approximately 60 days to request a targeted review.

You might be participating in an APM and not even know it – that happens a lot – so there’s no harm in updating your payment information.

Download the 2024 MIPS scoring guide for more information on performance criteria and how final scores are calculated.