In July, Radiaton Business Solutions (RBS) encountered a significant issue when claims for Pluvicto were denied by Humana due to MUE (Medically Unlikely Edits) limits. Along with these denials, recoupment letters began arriving in the mail, adding to the confusion and frustration of patients. It...

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the proposed Medicare payment rates under the Physician Fee Schedule (PFS) for CY 2025. These updates include several significant changes impacting radiation oncology and other specialties. Regina Hargrove, our Revenue Cycle/Authorizations Consultant,...

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) published the proposed Medicare payment rates for hospital outpatient services. The proposed rates have a 60-day comment period ending September 09, 2024. The final rule will be issued in November. Regina Hargrove, our...

Many in the healthcare community have been impacted by the February 21, 2024 cyber attack on Change Healthcare. With a situation as complex as this, Radiation Business Solutions knows the importance of staying up to date on government initiatives, industry next steps, and how this...

President Biden has signed a $460 billion spending bill, marking a significant step forward for healthcare in the United States. This latest agreement addresses critical concerns within the healthcare sector, particularly regarding physician compensation and hospital funding. The bill includes provisions aimed at mitigating the impact...

Statistics  Lung cancer is the second most common cancer in men and women, excluding skin cancer.   1 in 17 women and 1 in 15 men will be diagnosed with lung cancer in their lifetime. These numbers include people who smoke and people who do not smoke;...

As approximately 1 out of 8 women will develop breast cancer in their lifetime, all women need to be informed of their breast cancer risks. In a world full of hearsay and rumors, it is also important to know the truth and only believe what...

September is Prostate Cancer Awareness Month, and at Radiation Business Solutions, we believe that prevention begins with understanding. This blog will give you an in-depth look at the things every man – and woman! - should know about prostate cancer.   What is it?   The prostate is a...