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Oncology Practice Insider

ASCO’s Oncology Practice Insider provides the latest news, information, and educational tools to assist with the successful management of oncology practice and the delivery of high quality patient care. OPI offers updates on ASCO programs, services, and cancer-related health policy, Medicare news, and billing and coding best practices. To sign up for the biweekly Oncology Practice Insider newsletter, please complete this form.

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The American Medical Association (AMA) has developed free resources regarding the CPT code set to increase understanding of CPT codes.
Big transformations to office and outpatient E&M services (CPT® codes 99202-99215) are taking place as of January 1, 2021. Get ready for the transition now with ASCO resources, available for free on ASCO Practice Central:
The Association for Clinical Oncology (ASCO) recently submitted comments to the Centers for Medicare & Medicaid Services (CMS) regarding the Medicare and Medicaid Programs, Basic Health Program, and Exchanges; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency and Delay of Certain Reporting Requirements for the Skilled Nursing Facility Quality Reporting Program (CMS-5531-IFC) interim final rule.
On January 1, 2021 significant changes will be coming to the office and outpatient Evaluation and Management services. Begin the process of preparing your practice with these three steps:
Start getting your practice ready for the changes to the Evaluation and Management (E&M) codes in 2021 by reading ASCO’s new resource Nine Essential Tips to Prepare Your Practice for the 2021 Evaluation and Management Coding Changes.
Due to the Public Health Emergency (PHE), the Centers for Medicare and Medicaid Services (CMS) is suspending most Medicare Fee-For-Services (FFS) medical reviews. This includes pre-payment reviews conducted by Medicare Administrative Contractors (MACs) under the Targeted Probe and Educate (TPE) program and post-payment reviews conducted by the MACs, Supplemental Medical Review Contractor (SMRC) reviews and Recovery Audit Contractors (RACs).
Starting January 1, 2021, there will be significant changes to the office and outpatient Evaluation and Management (E&M) services Current Procedural Terminology (CPT ®) codes (99202-99215), for both new and established patients. Practices, physicians, and staff must prepare in advance for these changes to ensure a successful transition next year and avoid any disruption in reimbursement.