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Use the Qualified Clinical Data Registry (QCDR) to complete Merit-Based Incentive Payment System reporting.

Report on evidence-based quality measures and receive performance scores via the Quality Oncology Practice Initiative (QOPI®).

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.

In 2021, the Centers for Medicare and Medicaid Services (CMS) will use the medical record documentation to determine the medical necessity of an Evaluation and Management (E/M) Office and Outpatient visit (99202-99215). Reviewers will be looking at the accuracy of the documentation regarding the time spent, if the evaluation and management service is selected based on time. Documentation should include either a start/stop time or a statement regarding total time.
ASCO has compiled resources from federal agencies and state health departments for oncology professionals to access rapidly changing information on the COVID-19 pandemic. This includes a Coronavirus Billing and Coding Guide.
Consultations, Hospital Inpatient Services, Hospital Observation Services As of January 1, 2021, CPT codes 99202-99215 should be selected either based on time or medical decision making. However, the new guidelines do not apply to other E/M services such as consultations, hospital inpatient services, and hospital observation services. Be sure to review the new guidelines in the AMA CPT® Professional Edition manual. Prolonged Services
The American Medical Association (AMA) has developed a tool to help select the appropriate CPT® code for the type and dose of vaccine that is being administered.