tci Part B Insider - 2006 Issue 10

GYNECOLOGIC ONCOLOGY: Resubmit Denied Demonstration Claims To Gain Extra Payment

CMS backtracks on oncology demonstration projectGood news: Gynecologic oncologists will be able take part in this year's oncology demonstration project. Oncologists are using "G" codes to report on compliance with various standards of care for various cancers--including ovarian cancer. At first, the Centers for Medicare & Medicaid Services 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 added gyn-oncs to the list in Change Request 4347, dated March 3. Opportunity:...

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