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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 the 2019 MPFS final rule, CMS finalized changes to the coding and payment structure for Evaluation & Management (E&M) services effective calendar year (CY) 2021. In the 2020 proposed rule, CMS is proposing to reverse some of these finalized policies and align E&M coding and payment with changes adopted by the Current Procedural Terminology (CPT) Editorial Panel for E&M services. The changes include:
The Recovery Audit Contractors (RAC) initiative was developed by the Centers for Medicare and Medicaid Services (CMS) to fight fraud and abuse in the Medicare program. Recovery Audit Contractors review claims post-payment, with the goal of identifying and correcting past improper payments.
On May 17, 2019, the Centers for Medicare and Medicaid Services announced they will be delaying the publication of final National Coverage Determination (NCD) in regards to CAR-T therapy. The proposed decision and stakeholder comments have been posted online.
An updated Telehealth Services Medicare Learning Network booklet was published in 2019. This booklet contains information regarding Telehealth Services requirements, distant site practitioners, and billing and payment for the originating site facility.
ASCO members who are practicing oncologists may have recently received an email inviting them to participate in the American Medical Association’s (AMA) Specialty Society Relative Value Scale (RSV) Update Committee (RUC) survey for physician office visits and a new prolonged services code. Results of the survey will help ASCO, in concert with the RUC, recommend accurate relative values for physician work and direct practice expenses to the Centers for Medicare & Medicaid Services.