ONCOLOGY: Confused By Cancer Care Demo Project? Help Is At Hand

Why This Topic Matters

The article is relevant to practices that bill oncology E/M services and need to recognize a special demonstration reporting process tied to specific cancer diagnoses. It also highlights operational issues that affect charge capture, documentation, and coordination with physician guideline selection.

Article Sections

1. Tips to capture demonstration reimbursement

   An overview of the demonstration project and the general billing workflow used to identify qualifying visits. The section focuses on practice-level setup and reporting concerns.

2. CMS and ASCO support materials

   Discussion of guidance materials issued by federal and specialty organizations, including worksheets and related information resources. The section explains how these materials are intended to support documentation and data collection.

3. Documentation and guideline source requirements

   Coverage of the documentation elements practices need to capture for the program, including physician guideline source notation and worksheet handling. It also addresses how practices may organize chart documentation for eligible patients.

4. Disease state, original diagnosis, and coding issues

   A look at how disease-state information is handled for qualifying cases and the types of data-entry or code-list issues that may arise. The section also notes a reported coding inconsistency needing clarification.

5. Practice workflow for identifying eligible patients

   Operational suggestions for tracking patients, preparing templates, and coordinating staff responsibilities before visits. The section emphasizes process planning and software support.