Stay informed with timely news, analysis, and insights on CTP reimbursement, legislation, and policy changes. Learn how evolving regulations may affect clinicians, providers, and patient access to care.
Estimates state that chronic wounds impact 10.5 million Medicare beneficiaries, amounting to approximately one in six in this population. Managing such wounds, oftentimes in complex patient scenarios, and in the context of multiple comorbid...
Estimates state that chronic wounds impact 10.5 million Medicare beneficiaries, amounting to approximately one in six in this population. Managing such wounds, oftentimes in complex patient scenarios, and in the context of multiple comorbid...
Across Medicare audits, denials of skin substitute (CTP) claims most often hinge on a single issue: medical necessity. Even when products are FDA-cleared and correctly billed, auditors routinely find that the clinical record fails...
Across Medicare audits, denials of skin substitute (CTP) claims most often hinge on a single issue: medical necessity. Even when products are FDA-cleared and correctly billed, auditors routinely find that the clinical record fails...
The audit environment surrounding cellular and tissue-based products (CTPs) has changed dramatically over the past several years. What began as medical necessity–focused reviews has evolved into complex, policy-driven scrutiny centered on...
The audit environment surrounding cellular and tissue-based products (CTPs) has changed dramatically over the past several years. What began as medical necessity–focused reviews has evolved into complex, policy-driven scrutiny centered on...
In this interview, the speaker outlines concerns about regulatory overcorrection, escalating product costs, and the growing influence of vendor-driven revenue messaging in physician offices.
In this interview, the speaker outlines concerns about regulatory overcorrection, escalating product costs, and the growing influence of vendor-driven revenue messaging in physician offices.
A series of bills introduced in the 119th Congress would make significant changes to Medicare payment policy for skin substitute products and to the agency’s authority to test certain prior authorization models. While all measures currently...
A series of bills introduced in the 119th Congress would make significant changes to Medicare payment policy for skin substitute products and to the agency’s authority to test certain prior authorization models. While all measures currently...
This certified professional coder and medical auditor foresees continued or expanded audit, cautioning activity rather than any reduction in scrutiny and wound care practitioners should expect more thorough and data-driven audit activity.
This certified professional coder and medical auditor foresees continued or expanded audit, cautioning activity rather than any reduction in scrutiny and wound care practitioners should expect more thorough and data-driven audit activity.
Medicare medical review doesn’t always look the same; and when a claim is reviewed can be just as important as why. Understanding the differences between pre-payment and post-payment review helps wound care professionals anticipate...
Medicare medical review doesn’t always look the same; and when a claim is reviewed can be just as important as why. Understanding the differences between pre-payment and post-payment review helps wound care professionals anticipate...
The FDA has issued a Federal Register notice seeking public comment on the continued approval of reporting requirements for manufacturing deviations involving biologics and human cell and tissue products (HCT/Ps), including many cellular and...
The FDA has issued a Federal Register notice seeking public comment on the continued approval of reporting requirements for manufacturing deviations involving biologics and human cell and tissue products (HCT/Ps), including many cellular and...
Which audit entity is represented by Medicare Fee-for-Service (FFS) compliance contractors focused on identifying and correcting improper payments; both overpayments and underpayments?
Which audit entity is represented by Medicare Fee-for-Service (FFS) compliance contractors focused on identifying and correcting improper payments; both overpayments and underpayments?
The CTP News Desk delivers fast, trusted news and expert insights on wound care reimbursement, policy, and legislative updates that impact clinicians, providers, and patients. We break down key topics such as CMS payment rules, the Clinical Trial Requirement Rule, coverage policies, and market trends—helping the wound care community understand how these changes affect the use of cellular and tissue-based products (CTPs) in clinical practice.
Through balanced reporting, stakeholder perspectives, and real-world analysis, we connect evolving reimbursement policy to its direct implications for patient care, clinical decision-making, and sustainable wound management programs.