Surgical wound outcomes data is not scarce, but almost none of it links a specific wound product to what happened after the patient left the operating room. Registries capture the procedure and the complication, claims capture billed items, and EHRs capture whatever...
As Michael Crouch detailed in his 3-part guest blog, 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 Learned from a “Skin...
In October 2025, Michael Crouch posted a guest blog about a Medicare audit of skin substitute/CTP claims outlining some very interesting reasons for the denial of charges, including: The products used are amniotic membrane allografts. The amniotic membrane acts as a...
The Department of Justice (DOJ) announced an indictment of a Nevada wound care physician for fraud in relation to expensive amniotic allografts. (Note that the conduct described below is alleged. Criminal charges are accusations, not findings of guilt.) The...
Back to Basics: What We Still Need to Learn, and What We Will Need for the Future More than 25 years ago, I got a call from a woman who introduced herself as an engineer and said, “I hear you have a lot of lymphedema patients.” Boy, did I have a lot of lymphedema...
Guest blog by Ryan Mathis On August 26, 2026, the court dismissed the CAMPs Initiative’s second lawsuit challenging the skin substitute reimbursement provisions of the Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) final rule. Just like the first time,...