As Michael Crouch detailed in his 3-part guest blog on CarolineFifeMD.com, Medicare providers under audit may face a lengthy administrative appeals process before obtaining a hearing or review by an Administrative Law Judge (ALJ): The Incredible Journey: Lessons...
Subscribers to CMS (Centers for Medicare and Medicaid Services) listservs recently got a very short email announcing that CMS is reopening the call for clinical evidence on skin substitutes. I’d provide a link to the bulletin – but there isn’t one! It was simply a...
The Physician Fee Schedule proposed rule is out. Remember that like the OPPS proposed rule, there’s a comment period and possible changes before this is finalized. Here are the links you need to read things yourself. CMS is inviting comments on all these proposals and...
The Subcommittee on Health Care and Financial Services Chairman Glenn Grothman (R-Wis.) announced a roundtable on “Medicare Fraud: Examining the Explosive Growth in Skin Substitute Spending”. DATE: Tuesday, July 21, 2026 TIME: 2:00p.m. ET LOCATION: 2154 Rayburn...
Since most patients with chronic non-healing wounds are obese, I have been watching the “GLP-1 revolution” with interest. I have described the hopeless feeling of seeing one obese patient have another with chronic wounds (some of whom fall asleep while you are talking...
