Oncology & Hematology Coding Alert

News You Can Use:

Chart the Changes to CMS's New Oncologic PET Policy

NOPR stats help boost coverage for your patients. Whether your clinic performs its own PET scans or you need to keep up with coverage for tumor imaging your oncologist orders, CMS has news you cant miss. News: CMS is crediting data submitted to the National Oncologic PET Registry (NOPR) for a recent expansion of PET coverage for initial anti-tumor treatment strategy. This expansion in coverage for PET scans shows that the Coverage with Evidence Development program is a success, according to CMS acting administrator Charlene Frizzera in an April 6 release. CED allowed us to cover an emerging technology, learn more about its usage in clinical practice, and adjust our coverage policies accordingly. Dont Miss the 1 Scan Rule Be sure you catch two changes in the policy: 1. Framework: Instead of having categories for diagnosis, staging, restaging, and monitoring response to treatment, CMS now has a two-part framework: " [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.