Delayed Implementation of Radiation Oncology Model

The Radiation Oncology (RO) Model goals to improve the quality of care for cancer patients getting radiotherapy (RT) and move toward an easy and predictable payment system. The Radiation Oncology Model tests whether modality agnostic, bundled, site-neutral, prospective, episode-based payments to physician group practices (PGPs), hospital outpatient departments (HOPD), and freestanding radiation therapy centers for […]


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Billing and Coding Guidelines for Radiation Oncology (Part 2)

Billing and Coding Guidelines (continued…) Treatment devices, designs, and construction may be charged during a course of therapy when documentation substantiates multiple volumes of interest/ports, the use of custom-made devices, and/or the necessity of replacement devices. Providers should bill for devices at the beginning of the treatment course and then may bill again later in […]


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Billing and Coding Guidelines for Radiation Oncology (Part 1)

Major Reasons for Denial Services performed for diagnoses not listed as covered in this policy or for excessive frequency will be denied as not medically necessary. Frequency is considered excessive when services are performed more frequently than generally accepted by peers and the reason for additional services is not justified by documentation. Indications not listed […]


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Implementation of intensive care unit strategy for oncology

Cancer patients admitted to an emergency or intensive care unit (ICU) have some critical requirement of basic care needs because of their unknown illness; time-point in the treatment plan and treatment-related deadliness resulting in organ damage, hemodynamic infection, or blood contamination. Over the past two decades, therapeutic advances have reshaped not just the medical approach […]


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How Hospitals Can Bill For Outpatient Cancer Care?

Hospital medical billing and coding partners for outpatient cancer care centers deliver knowledge from multiple sides of the medical and radiation oncology industry. They are the experts in both, the clinical and business aspects of revenue cycle management. Their unique know-how at the business level, along with the background of working in the outpatient cancer […]


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Regaining Control Over your Oncology Billing this season

Understanding that legitimate and productive oncology billing, coding, and collections are indispensable to run an effective oncology practice, Medical Billers and Coders (MBC) have a robust system in place that helps doctors/physicians to regain control over their practice. As an Oncology practitioner financial strength of your practice is directly related to timely billing and reimbursement. […]


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Warning: These 5 Billing Mistakes can destroy your Oncology Practice

Keeping up with the tradition of the policymakers with regards to Oncology medical billing and coding altercations, healthcare payer demands and physician revenue, 2016 has witnessed lots of changes. However, with this evolvement, the rate of errors that a physician’s facility or hospital billing department is making is creating several reimbursement issues. If one has […]


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Streamline your Radiology Billing Services with New 2015 CPT Changes

The American Medical Association (AMA) has released a total of 542 CPT code changes under the CPT coding manuals for 2015. Fifteen new codes have been introduced under radiology billing in 2015, while 23 codes have been removed. The AMA has also revised four codes for radiology billing. These changes will majorly impact vascular and […]


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