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Business Briefs

Business Briefs
Confusion Reigns: Advance Beneficiary Notice of Non-coverage
07/19/2024
Misinformation about the use of an advanced beneficiary notice (ABN) of non-coverage is spreading like wildfire. This author presents the most common scenarios reported, answers to the ABN inquiries, and appropriate uses for ABNs.
Misinformation about the use of an advanced beneficiary notice (ABN) of non-coverage is spreading like wildfire. This author presents the most common scenarios reported, answers to the ABN inquiries, and appropriate uses for ABNs.
Misinformation about the use of...
07/19/2024
Today's Wound Clinic
Business Briefs
Physicians, QHPs, and MACs Complain About Some Billing Companies
06/18/2024
Kathleen D. Schaum, MS
I thought readers would be interested in what a “good” billing company looks like. Amiee Coriano, the owner of AMC Medical Consulting, LLC, agreed to share how her coding and billing company operates and circumvents client complaints.
I thought readers would be interested in what a “good” billing company looks like. Amiee Coriano, the owner of AMC Medical Consulting, LLC, agreed to share how her coding and billing company operates and circumvents client complaints.
I thought readers would be...
06/18/2024
Today's Wound Clinic
Business Briefs
You Are in the Wound/Ulcer Management Business, Not the CTP Application Business!
05/23/2024
Kathleen D. Schaum, MS
Because most denials and repayments of CTPs are due to lack of thorough wound/ulcer management documentation, I was excited to have this opportunity to remind SAWC Spring attendees that they are in the wound/ulcer management business, not the...
Because most denials and repayments of CTPs are due to lack of thorough wound/ulcer management documentation, I was excited to have this opportunity to remind SAWC Spring attendees that they are in the wound/ulcer management business, not the...
Because most denials and...
05/23/2024
Today's Wound Clinic

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Business Briefs
Coding Challenge: Readers vs. Workshop Attendees
04/26/2024
Kathleen D. Schaum, MS
Many PBDs, physicians, and QHPs are failing their pre-payment and post-payment audits due to noncompliance with these basic wound/ulcer management codes. Take the coding test pertaining to common wound/ulcer management services/procedures...
Many PBDs, physicians, and QHPs are failing their pre-payment and post-payment audits due to noncompliance with these basic wound/ulcer management codes. Take the coding test pertaining to common wound/ulcer management services/procedures...
Many PBDs, physicians, and QHPs...
04/26/2024
Today's Wound Clinic
Business Briefs
Can Physicians Afford to Manage Chronic Ulcers With Multiple Comorbidities?
03/29/2024
Kathleen D. Schaum, MS
Because G2211 appeared to be an unknown code to these ulcer management professionals, it may be unknown to the readers. This author addresses the questions she was asked about the appropriate use of G2211.
Because G2211 appeared to be an unknown code to these ulcer management professionals, it may be unknown to the readers. This author addresses the questions she was asked about the appropriate use of G2211.
Because G2211 appeared to be an...
03/29/2024
Today's Wound Clinic
Business Briefs
Medicare Coverage for Application of CTPs in Post-Acute Care Places of Service
02/16/2024
Kathleen D. Schaum, MS
Including an Interview with Martha R. Kelso, RN, CHWS, HBOT
Including an Interview with Martha R. Kelso, RN, CHWS, HBOT
Including an Interview with...
02/16/2024
Today's Wound Clinic

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Business Briefs
The 2024 Medicare Final Payment Rules Have Been Released: Part 3
01/10/2024
Kathleen D. Schaum, MS
This article will address the most frequently asked questions and answers that pertain to the long-awaited new lymphedema compression treatment items benefit category.
This article will address the most frequently asked questions and answers that pertain to the long-awaited new lymphedema compression treatment items benefit category.
This article will address the...
01/10/2024
Today's Wound Clinic
Business Briefs
The 2024 Medicare Final Payment Rules Have Been Released: Part 2
12/13/2023
Kathleen D. Schaum, MS
This Part 2 article will review a few other new 2024 payment regulations, such as OPPS, RPM and RTM, telehealth, and home health.
This Part 2 article will review a few other new 2024 payment regulations, such as OPPS, RPM and RTM, telehealth, and home health.
This Part 2 article will review...
12/13/2023
Today's Wound Clinic
Business Briefs
The 2024 Medicare Final Payment Rules Have Been Released: Part 1
11/21/2023
Kathleen D. Schaum, MS
Now that both the 2024 OPPS and MPFS Final Rules have been released, this Part 1 article will provide the correct payment information regarding CTPs and will provide a brief overview of the 2024 allowable rates for other common wound/ulcer...
Now that both the 2024 OPPS and MPFS Final Rules have been released, this Part 1 article will provide the correct payment information regarding CTPs and will provide a brief overview of the 2024 allowable rates for other common wound/ulcer...
Now that both the 2024 OPPS and...
11/21/2023
Today's Wound Clinic

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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

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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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