Intellicure

09/03/2026

Dismissed again — but the underlying question remains.

The CAMPs Initiative’s second lawsuit challenging Medicare’s skin substitute reimbursement policy has been dismissed on jurisdictional grounds. The court still has not ruled on whether the payment methodology itself is lawful.

Guest author Ryan Mathis, MD, explains what happened and what could come next.

🔗 Read more: https://www.intellicure.com/blog/camps-vs-health-and-human-services-case-dismissed/

The second lawsuit challenging the skin substitute reimbursement provisions of the CY 2026 Medicare Physician Fee Schedule (PFS) final rule has been overturned.

08/26/2026

You may be delivering excellent wound care — but can you prove it with data?

Quality outcome metrics are increasingly important for demonstrating clinical performance, meeting reporting requirements, and protecting reimbursement.

Our latest guide breaks down the wound care metrics that matter, how they connect to MIPS and QCDR reporting, and how to make measurement part of your clinical workflow.

Read more: https://www.intellicure.com/blog/wound-care-economics/wound-care-quality-outcome-metrics/

Wound care quality outcome metrics have become the primary language through which practices prove their clinical value to payers, CMS, and accreditation bodies under value-based reimbursement. This article breaks down which metrics matter most, how they tie into MIPS and QCDR reporting requirements,...

08/24/2026

Nevada Doctor Charged with $95 Million in Wound Care Fraud

A new DOJ indictment involving amniotic wound allografts raises important questions for the wound care industry. Read more: https://www.intellicure.com/blog/nevada-doctor-wound-care-fraud/

The conduct described in the indictment is alleged. Criminal charges are accusations, not findings of guilt.

The Department of Justice (DOJ) announced an indictment of a Nevada wound care physician for fraud in relation to expensive amniotic allografts.

08/22/2026

Wound Care Billing & Coding Best Practices: A Step-by-Step Guide

Getting the claim right starts long before it’s submitted. Documentation drives coding — not the other way around. Our latest guide breaks down 7 key steps to stronger wound care billing and coding.

Read the full guide: https://www.intellicure.com/blog/wound-care-economics/wound-care-billing-and-coding-best-practices/

This step-by-step guide to wound care billing and coding best practices walks wound care physicians, clinic administrators, and billing teams through documentation structure, CPT code selection, modifier rules, ICD-10 pairing, claim scrubbing, and denial management. Whether you operate a hospital-ba...

08/20/2026

Intellicure CEO Matt Pine shares his perspective on a question facing wound care clinicians: When does a smart dressing make sense—and when is a traditional dressing still the better choice?

In his latest article, Matt outlines 7 strategies for making dressing selection more systematic, patient-centered, and data-driven—from wound complexity and cost to documentation, outcomes tracking, and supply chain efficiency.

🔗 Read the full article:

This article equips wound care clinicians with 7 data-driven strategies for choosing between smart dressings vs traditional wound dressings, covering wound complexity, practice infrastructure, reimbursement, and documentation requirements. Rather than treating the decision as binary, it provides a n...

08/13/2026

Do you have to do MIPS? It’s worth finding out.

MIPS may not be the most exciting part of practicing medicine, but ignoring it can be costly. Eligible clinicians are required to participate in CMS’s Merit-based Incentive Payment System—and those who don’t could face a 9% Medicare Part B payment adjustment.

The Intellicure Quality Suite provides tools designed to help wound care clinicians stay on top of MIPS reporting and quality performance, including the Integrated Quality Scorecard, Best Practice Recommendations, and CTP Audit Defender.

Check your MIPS eligibility and learn how Intellicure can help: https://www.intellicure.com/wound-care-software/quality-scorecard/

08/11/2026

Are Amniotics Experimental – Like Medicare Auditors Say They Are?

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Here are few examples of your letters around claim denials due to the “experimental” nature of amniotic products.

08/05/2026

Check Out Attorney Knicole Emanuel’s Post About Escalating Medicare Provider Audits to Federal District Court...

Attorney Knicole Emanuel has posted a blog explaining that under some circumstances, an appeals case can be escalated to a Federal District Court.

07/31/2026

Duplicate documentation creates unnecessary work for clinicians and takes time away from patient care.

Intellicure's integration with PointClickCare helps eliminate duplicate documentation by securely exchanging patient information between both platforms—supporting more efficient specialty wound care workflows.

As part of Intellicure's growing portfolio of interoperable healthcare solutions, this integration reflects our continued commitment to improving connectivity across the healthcare continuum.

Learn more about the integration:https://www.intellicure.com/media/intellicure-announces-pointclickcare-integration/

07/30/2026

CMS Has Quietly Reopened the Skin Substitute Evidence Door...

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Subscribers to CMS listservs got a very short email announcing that CMS is reopening the call for clinical evidence on skin substitutes.