On November 1, 2024, CMS published two final rules—the Physician Fee Schedule and the Hospital Outpatient System—introducing several changes relevant to radiation oncology practices, especially those affecting freestanding centers and professional-only billing. Here’s what the final rule means for your practice: Impact on Radiation Oncology: The CMS...

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...

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...

The Radiation Oncology Alternative Payment Model (RO APM) is currently set to begin January 1, 2022, for physicians, hospitals, and freestanding centers that are located within one of the zip codes chosen by CMS. As it stands, with the exception of some opt-out options, participation...

On July 13th, CMS released the MPFS 2022 Proposed Rule.  Our team has created a 2022 MPFS Proposed Rule Summation July 2021 summary for your review.   Of note, CMS has proposed a reduction in the conversion factor (CF) from $34.89 to $33.58 for CY 2022.  The CF reduction,...

Tennessee healthcare executives Ben Frank and Christopher Gonzalez have partnered with Radiation Business Solutions to launch Apollo Healthcare, a revolutionary oncology services firm focused on improving access to novel cancer therapies. Ben Frank, an experienced oncology executive who was previously the President of the Provision Proton...

Thank you for continuing the vital work of bringing HOPE to your patients!   As a follow up to our previous communication, we have more specific information on how and when to bill for telemedicine services.  Please click here to view the “Medicare Telemedicine Health Care...

Sometimes life throws us a curveball.  I experienced a minor one recently, when I traveled with some of our team members to Alaska to participate in the Lost Lake Run, benefiting Cystic Fibrosis. This is a special perk we offer every year for employees who...