Radiation Oncology Reimbursement is in Jeopardy!

On July 1, CMS announced significant proposed changes in radiation oncology reimbursement. If approved, the American Society for Radiation Oncology has predicted a reduction of about 20 percent for radiation oncologists in 2010. Some of the major changes in the 2010 proposed Physicians’ Fee Schedule include:

-A reduction of the conversion factor of 21.5 percent (from $36.066 to $28.3208)
-A reduction in the practice expense and malpractice values
-A modification in the equipment utilization rate (for equipment over $1 million) from 50 percent to 90 percent; which will cut the technical component for IMRT services by as much as 40 percent

This could mean a melt-down for physician-based reimbursement. Meanwhile, hospital-based reimbursement for outpatient radiation therapy is expected to increase.

Now more than ever, physicians and hospitals must work with one another to determine the optimal organizational and billing structure -- ensuring your radiation oncology program’s long term financial viability. We’re here to help. Cancer CarePoint can assist with the financial modeling of your radiation center as well as determine the most optimal billing and organizational structure for your group before these changes dramatically impact you!

To discuss how Cancer CarePoint can assist with financial modeling for your practice, please call us at 1.800.998.5859. To best strategically position yourself for the future, the financial health of your practice is critically important.

We not only offer financial and organizational modeling, but we can also assist your radiation therapy practice with:

-Global Billing Assessments
-Freestanding vs Hospital-Based Billing Comparisons
-Oncology Coding, Reimbursement and Billing Assessment
-A Fiscal QuickStat of your practice
-Revenue Cycle Analyses

Visit Our Website For More Information: Click Here

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