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Despite the copyrighted nature of the CPT code sets, the use of the code is mandated by almost all health insurance payment and information systems, including the Centers for Medicare and Medicaid Services (CMS), and the data for the code sets appears in the Federal Register. It is necessary for most users of the CPT code (principally providers ...
The Oncology Care Model (OCM) is an episode-based payment system developed by the Center for Medicare and Medicaid Innovation. [1] The multipayer model is designed for discrete instances of care, especially those involving chemotherapy , which triggers the six-month episode.
HCFA was renamed the Centers for Medicare and Medicaid Services on July 1, 2001. [9] [11] In 2013, a report by the inspector general found that CMS had paid $23 million in benefits to deceased beneficiaries in 2011. [12] In April 2014, CMS released raw claims data from 2012 that gave a look into what types of doctors billed Medicare the most. [13]
The International Classification of Diseases for Oncology (ICD-O) is a domain-specific extension of the International Statistical Classification of Diseases and Related Health Problems for tumor diseases. This classification is widely used by cancer registries. It is currently in its third revision (ICD-O-3).
For claims filed under Part B for cancers that may have been caused by occupational radiation exposure, DOL sends the claim to the National Institute for Occupational Safety and Health (NIOSH) Division of Compensation Analysis and Support [4] for a radiation dose reconstruction. NIOSH requests the energy employee's individual exposure records ...
On the whole, Medicare Advantage advertising is so misleading that the federal Centers for Medicare & Medicaid Services (CMS) put out a 226-page rule in 2023 to reign in MA's marketing practices ...
JCO Oncology Practice [1] (known from 2005 to 2019 as the Journal of Oncology Practice) [2] is a monthly peer-reviewed medical journal covering the mechanics of oncology care. It was established in 2005 and is published by the American Society of Clinical Oncology. The editor-in-chief is John V. Cox (UT Southwestern Medical Center). [3]
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