Reimbursement

  • This section is rich in information that educates and assists members in getting the correct reimbursement for the cancer treatments provided to their patients. Keeping apprised of policy and coverage issues, as well as staying up-to-date on Medicare and private payer news and initiatives, is critical for running a successful practice.

  • MedicareCMS publishes a Proposed and a Final MPFS Rule each year that addresses certain provisions and changes to Medicare Part B payment policy.
    Code DevelopmentASTRO works in coordination with the American Medical Association’s Current Procedural Terminology (CPT) Editorial Panel to establish new radiation oncology CPT codes.
    Private PayerASTRO is actively engaged in working with private insurance organizations in areas that impact coverage and payment of radiation therapy services.
    Model PoliciesASTRO model policies were developed as a means to efficiently communicate what ASTRO believes to be correct coverage policies for radiation oncology services.
    Practice Management ResourcesThese resources were developed to provide information to the membership on topics of interest related to coding, reimbursement, coverage and practice management.