Oncology & Hematology Coding Alert

Take advantage of this strategy for catching diagnosis code requirements.Considering how often CMS's Provenge coding rules have changed, you need to have a game plan for staying up to date. One place to start is the manufacturer's website, says Lisa S. Martin, CPC, CIMC, CPC-I, chargemaster specialist for OSF Healthcare System in Peoria, Ill. "Take advantage of their specialized knowledge and assistance when offered, especially when an office or facility initially starts using the product," Martin says. You'll find the website at www.provengereimbursement.com/. Of course you should check what the manufacturer says against payer policies, but the manufacturer site offers a good starting point. You can search your payer's site, or the Provenge reimbursement website offers links to "state-specific coverage information, and there is an external link to the Medicare NCD [National Coverage Determination] from their website, which also contains very specific information," says Martin. Provenge policies are indeed [...]