tci Medicare Compliance & Reimbursement - 2006 Issue 13

ONCOLOGY: CMS Reverses Course On Oncology Demonstration

Gyn-Oncs win opportunity to resubmit denied demonstration claims.Reversal of a Centers for Medicare & Medicaid Services oversight that prevented gynecologic oncologists from taking part in this year's oncology demonstration project will now afford gyn-oncs new reimbursements.Oncologists are using "G" codes to report on compliance with various standards of care for various cancers ...quot; including ovarian cancer. At first, CMS didn't realize that gyn-oncs treat ovarian cancer, and left them off the list of specialties that could bill for the demonstration.After a lot of lobbying by the Society for Gynecologic Oncology, CMS finally realized its mistake and...

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