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Legal Counsel

Legal Counsel
Navigating Legal Issues Involving Medicare and Manufacturer Rebates
12/13/2021
Knicole Emanuel
This article explores the legal issues surrounding Medicare and manufacturer rebates.
This article explores the legal issues surrounding Medicare and manufacturer rebates.
This article explores the legal...
12/13/2021
Today's Wound Clinic
Legal Counsel
‘F’ is for Fraud: How to Avoid Medicare and Medicaid Fraud
07/16/2021
Knicole Emanuel
Wound clinics can blunder into being accused of Medicare fraud because they may not know all the idiosyncrasies of Medicare regulations. This author offers expert insights on understanding the regulations and avoiding legal penalties.
Wound clinics can blunder into being accused of Medicare fraud because they may not know all the idiosyncrasies of Medicare regulations. This author offers expert insights on understanding the regulations and avoiding legal penalties.
Wound clinics can blunder into...
07/16/2021
Today's Wound Clinic
Telemedicine: Musings From Medical Malpractice Defense Attorneys
Legal Counsel
Telemedicine: Musings From Medical Malpractice Defense Attorneys
02/15/2021
Don Stephens
Justin Rightmer
Although telehealth can open effective avenues of care for patients who cannot see physicians in person, factors such as a lack of personal connection or lack of continuity of care can leave physicians vulnerable to malpractice suits when...
Although telehealth can open effective avenues of care for patients who cannot see physicians in person, factors such as a lack of personal connection or lack of continuity of care can leave physicians vulnerable to malpractice suits when...
Although telehealth can open...
02/15/2021
Today's Wound Clinic

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Legal Tips for Physician Supervision of Advanced Practice Providers
Legal Counsel
Legal Tips for Physician Supervision of Advanced Practice Providers
10/05/2020

Tanya Babitch and Robin Desrocher

Tanya Babitch and Robin Desrocher ...
The increased utilization of advanced practice providers (APP), who can examine and diagnose patients under physical supervision, necessitates a closer look at the legal duties of the supervising physician. These authors provide a guide to...
The increased utilization of advanced practice providers (APP), who can examine and diagnose patients under physical supervision, necessitates a closer look at the legal duties of the supervising physician. These authors provide a guide to...
The increased utilization of...
10/05/2020
Today's Wound Clinic
Legal Counsel
A Guide to Supervisory Requirements Following the 2020 OPPS Final Rule
01/09/2020
Don Stephens
Justin Rightmer
A new year comes with new Centers for Medicare & Medicaid (CMS) policies regarding requirements for therapeutic outpatient services at all hospitals and critical access hospitals (CAH). These authors explain the final Outpatient Prospective...
A new year comes with new Centers for Medicare & Medicaid (CMS) policies regarding requirements for therapeutic outpatient services at all hospitals and critical access hospitals (CAH). These authors explain the final Outpatient Prospective...
A new year comes with new...
01/09/2020
Today's Wound Clinic
Legal Counsel
Open Payments Program & The Sunshine Act: What Wound Care Practitioners Need to Know
11/07/2018

Naomi J.L. Halpern & James R. Ravitz

Naomi J.L. Halpern & James R. Rav...
The Physician Payments Sunshine Act was enacted in 2010 as part of the Patient Protection and Affordable Care Act1 and requires that pharmaceutical and medical device companies make publicly available reports to the government concerning...
The Physician Payments Sunshine Act was enacted in 2010 as part of the Patient Protection and Affordable Care Act1 and requires that pharmaceutical and medical device companies make publicly available reports to the government concerning...
The Physician Payments Sunshine...
11/07/2018
Today's Wound Clinic

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Legal Counsel
The Federal False Claims Act & the Ongoing Fight Against Healthcare Fraud
08/03/2018

Andrew G. Melling

Andrew G. Melling
The False Claims Act (FCA) is one of the United States government’s most powerful weapons to combat the perpetration of fraud against federal programs. While the FCA is applicable to claims submitted for payment by any type of government...
The False Claims Act (FCA) is one of the United States government’s most powerful weapons to combat the perpetration of fraud against federal programs. While the FCA is applicable to claims submitted for payment by any type of government...
The False Claims Act (FCA) is...
08/03/2018
Today's Wound Clinic
Legal Counsel
Advancing Regenerative Medicine: FDA Implementation of 21st Century Cures Act
04/05/2018

Naomi J.L. Halpern & James R. Ravitz

Naomi J.L. Halpern & James R. Rav...
The treatment of the skyrocketing number of patients in the United States living with chronic wounds represents an enormous public health challenge, but has also created significant incentives for the development of advanced wound care...
The treatment of the skyrocketing number of patients in the United States living with chronic wounds represents an enormous public health challenge, but has also created significant incentives for the development of advanced wound care...
The treatment of the...
04/05/2018
Today's Wound Clinic
Blog
Legal Counsel: Guide to Providing Free (or Discounted) Transportation to Patients
12/11/2017
James R. Ravitz & Rachel Hold-Weiss
James R. Ravitz & Rachel Hold-Wei...
Many people who require treatments for chronic wounds are elderly patients with limited mobility. Some of these patients live in areas that require significant travel to the wound clinic, such as a rural community. Many of these patients may...
Many people who require treatments for chronic wounds are elderly patients with limited mobility. Some of these patients live in areas that require significant travel to the wound clinic, such as a rural community. Many of these patients may...
Many people who require...
12/11/2017
Today's Wound Clinic

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Legal Counsel
Guide to Providing Free (or Discounted) Transportation to Patients
12/08/2017

James R. Ravitz & Rachel Hold-Weiss

James R. Ravitz & Rachel Hold-Wei...
Many people who require treatments for chronic wounds are elderly patients with limited mobility. Some of these patients live in areas that require significant travel to the wound clinic, such as a rural community. Many of these patients may...
Many people who require treatments for chronic wounds are elderly patients with limited mobility. Some of these patients live in areas that require significant travel to the wound clinic, such as a rural community. Many of these patients may...
Many people who require...
12/08/2017
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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