Regina Lohr, Oncology Roundtable
In follow-up to our recent 2013 Oncology Medicare Reimbursement Update, members asked for more specifics on the new Transitional Care Management (TCM) CPT codes included in the 2013 Medicare Physician Fee Schedule.
Requirements, reimbursement vary by patient complexity
The two codes allow providers to bill for one face-to-face visit as well as non-face-to-face services provided to manage patients’ transitions from an inpatient care setting to the community setting (such as the patient’s home or assisted living). Providers billing under these codes must communicate with the patient or caregiver shortly after discharge and meet with the patient within one or two weeks, depending on the complexity of the patient’s case.
What cancer providers need to know about using the new CPT codes
CMS will implement its proposed cuts – with some modifications - to payment for IMRT and SBRT treatment delivery in the freestanding setting.
Last night, CMS issued the final 2013 Hospital Outpatient Prospective Payment System (HOPPS) and the Medicare Physician Fee Schedule (MPFS). The Oncology Roundtable team is currently combing through the regulations, and we will be publishing our analysis over the next several weeks.
CMS Issues Final 2013 HOPPS and MPFS
On Friday, Nov. 2 at 1 p.m. ET, my colleagues in the Financial Leadership Council are holding a webconference to review the latest changes to Medicare’s bundled payment program. Register now to join them.
Register now: Update on Bundled Payments for Care Improvement