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MO‐E‐350‐01: Reimbursement for New Technology and Procedures in Radiation Oncology
Publication year - 2008
Publication title -
medical physics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.473
H-Index - 180
eISSN - 2473-4209
pISSN - 0094-2405
DOI - 10.1118/1.2962377
Subject(s) - reimbursement , payment , radiation oncology , citation , medicine , prospective payment system , schedule , medical physics , computer science , world wide web , radiation therapy , radiology , political science , health care , law , operating system
Most new technology is launched without dedicated codes, coverage, or payment. It takes time, data, and a significant effort to garner new codes, influence coverage policies and drive appropriate payment. The talk will focus on new technology coding, coverage and payment through the Medicare Fee Schedule and the Hospital Outpatient Prospective Payment System. It will discuss the process for CPT application, how codes are valued by the Relative Value Update Committee (RUC) for physician work and non‐physician clinical labor (including physics and dosimetry work) and equipment. The talk will also touch upon supervision requirements for SBRT and IGRT. Educational Objectives: 1. Understand the process for CPT applications. 2. Introduction to how new codes are valued. 3. Work and supervision requirements for SBRT and IGRT.