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LCD vs Non-LCD States: Why Smart Wound Care Programs Operate Like They Have One Anyway
Operating in a non LCD state may feel like added flexibility, but flexibility without structure creates exposure. In today’s reimbursement climate, many high performing wound programs are choosing to model their documentation and clinical decision frameworks after comprehensive LCDs such as Novitas. This approach strengthens defensibility, reduces variation, and prepares organizations for scrutiny before it arrives.

Nikki Johnston
Feb 162 min read


Value-Based Care in Wound Care: The Idea Everyone Loves and the Reality Few Are Ready For
The push toward value-based care in wound care is accelerating, but many of the loudest conversations are skipping over the hardest truths. Everyone agrees value-based care is the future Right now, value-based care is being positioned as the inevitable next step for wound care. With reimbursement tightening, utilization under scrutiny, and margins shrinking, the industry is being nudged toward “full cycle” payment models that promise alignment, efficiency, and better outcomes

Nikki Johnston
Feb 33 min read


Leadership in Wound Care: The Mindset Shift NPs and PAs Must Make
Leadership in wound care is now essential for NPs and PAs. Learn why clinical judgment, ownership, and decision-making matter more than protocols in today’s regulatory landscape.

Kati Kaushal
Jan 233 min read


CMS, I am Going to Hold Your Hand When I Tell You This....
As wound care clinics struggle to survive under mounting CMS pressures, patients are losing access to timely, limb saving care. This piece explores how policy decisions are reshaping the industry and why the consequences will extend far beyond clinic walls.

Nikki Johnston
Jan 213 min read


Why Wound Care Training Isn’t Optional, For Anyone
A Quiet but Costly Gap Wound care is one of the most frequently encountered aspects of patient care—yet it remains one of the least...
Nikki Johnston
Aug 3, 20252 min read


Nevada NP Pleads Guilty in $14.3M Wound Care Fraud Case: What the Industry Can Learn
July-16th, 2025-A Nevada-based nurse practitioner pleaded guilty last week to a large-scale Medicare fraud scheme that involved billing...
Nikki Johnston
Jul 22, 20252 min read


Cold Plasma, Hot Potential: A New Frontier in Wound Healing from the Netherlands
Chronic wounds have long challenged both clinicians and healthcare systems. With an aging population, rising rates of diabetes, and...
Nikki Johnston
Jul 14, 20252 min read


The Momentum Is Real: Wound Care Is No Longer a Niche
Let’s get one thing straight: wound care is not a specialty on the sidelines anymore. It’s growing. It’s profitable. And it’s being...
Nikki Johnston
Jul 5, 20253 min read


The Wound Is Closed—But Is It Healed?
Why “Invisible Wounds” should change how we define success in wound care Let’s talk about the finish line that isn't really the finish...
Nikki Johnston
Jul 5, 20252 min read


CMS to Add Prior Authorization for Traditional Medicare
Adding to the recent DOJ crackdowns on skin substitutes, the Centers for Medicare & Medicaid Services (CMS) recently announced a major...
Nikki Johnston
Jul 1, 20252 min read


🚨 New DOJ Indictments in Skin Substitute (CTP) Fraud: What Every Wound Care Provider Needs to Know
On June 30, 2025, the Department of Justice announced one of its largest-ever National Health Care Fraud Takedowns, including 324...
Nikki Johnston
Jul 1, 20252 min read


Why Knowing Your MAC Region (and LCDs) Matters in Wound Care
If you’re involved in wound care—whether you're running a mobile practice, outpatient clinic, or part of a larger healthcare system—one...
Nikki Johnston
Jun 23, 20252 min read


Why Podiatry Practices Are Stepping Into Advanced Wound Care
When you already own the biomechanics of the foot , adding diabetic-foot–focused wound care isn’t a pivot—it’s a power-up. Across the...
Nikki Johnston
Jun 10, 20252 min read


How Mobile Wound Care Is Re-Shaping Healing Outcomes
When it comes to chronic-wound management, bringing the clinic to the patient has gone from nice-to-have to industry game-changer . The...
Nikki Johnston
Jun 10, 20252 min read


Inclusive Leadership Solutions for Startups
When it comes to startups and small teams, crafting an inclusive and thriving microculture from the get-go can make all the difference in...
Nikki Johnston
Mar 30, 20252 min read


Small Team Microculture Design Experts
In the ever-evolving landscape of business, the importance of cultivating a positive and inclusive microculture within small teams and...
Nikki Johnston
Mar 30, 20252 min read


Tailored Coaching for Agile Team Growth
In the world of business, especially for small teams and startups, creating a strong and sustainable culture is paramount. Kindling...
Nikki Johnston
Mar 30, 20252 min read
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