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Prospective Payment System–Exempt Cancer Hospitals White Paper

In an effort to reduce the rapidly escalating costs of providing healthcare in the U.S., Congress implemented the new inpatient PPS in the mid-1980s. This system reduced the amount of Medicare reimbursement that hospitals would receive and incentivized facilities to become more efficient by decreasing their costs for inpatient care. Certain specialty hospitals that met a number of requirements were exempted…

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2017 Fee Schedule Reimbursement Analysis

In November 2016, the Centers for Medicare & Medicaid Service (CMS) released the 2017 final Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS). As a yearly exercise, Oncology Solutions analyzes the fee schedules with a focus on radiation therapy and medical oncology to identify reimbursement changes that may affect cancer care providers. With more than 60%…

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CMS Oncology Payment Model Reveals the Future of Oncology Reimbursement

Are you ready for the Centers for Medicare & Medicaid Services’ (CMS’) new payment and delivery model, the Oncology Care Model (OCM)? Oncology Solutions is currently assisting clients with: Conducting an OCM readiness assessment for the practice/program; Assisting with “future state” practice/program planning in alignment with the OCM requirements; Conducting physician and staff education sessions; Developing an OCM implementation plan…

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