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CTP News Desk

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.

News
11/18/2025
Jennifer J. Spector, DPM, FACFAS
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...
Estimates state that chronic...
11/18/2025
Wounds
Analysis
03/05/2026
Jennifer J. Spector, DPM, FACFAS
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...
Across Medicare audits, denials...
03/05/2026
Wounds
Viewpoints
03/05/2026
William O'Malley, MBA
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...
The audit environment...
03/05/2026
Wounds
Quiz
03/04/2026
Which audit program measures Medicare FFS improper payment rates by reviewing a statistically valid random sample of claims each year?
Which audit program measures Medicare FFS improper payment rates by reviewing a statistically valid random sample of claims each year?
Which audit program measures...
03/04/2026
Wounds
Viewpoints
03/03/2026
David Alper, DPM
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.
In this interview, the speaker...
03/03/2026
Wounds
News
03/02/2026
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...
A series of bills introduced in...
03/02/2026
Wounds
Viewpoints
02/27/2026
Michael Crouch, CHT, CPC, CPMA
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.
This certified professional...
02/27/2026
Wounds
Analysis
02/26/2026
Jennifer J. Spector, DPM, FACFAS
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...
Medicare medical review doesn’t...
02/26/2026
Wounds
News
02/25/2026
Jennifer J. Spector, DPM, FACFAS
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...
The FDA has issued a Federal...
02/25/2026
Wounds
Quiz
02/25/2026
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?
Which audit entity is...
02/25/2026
Wounds