ADVOCACY
What's New at the NV Capitol
As cancer care professionals who experience the challenges of providing quality cancer care first-hand, NOS members are well positioned to educate decision-makers on how coverage and reimbursement issues affect community oncology. State and federal legislation can have a significant impact on the financial viability of local cancer programs, which is why it's so important that our members make their voices heard.
We want to hear from you! If there is a specific piece of legislation you want to know more about, an important resource we're missing, or if you want to get more involved, please contact us!
Implementing the New CMS Reimbursement Billing Codes for Patient Navigation Services
As of January 1, 2024, the Centers for Medicare and Medicaid Services introduced new codes so that Medicare could reimburse for patient navigation services. To address challenges of implementation, the Association of Cancer Care Centers, in partnership with TACOS and 11 other state societies from CO, IN, IA, NV, NM, NY, NC, SC, WA, WI, and WY, has a 4-part webinar series, Implementing the New CMS Reimbursement Billing Codes for Patient Navigation Services, hosted by Teri Bedard of Revenue Cycle Coding Strategies.
The New CMS Navigation Reimbursement Billing Codes: A 101
The 2024 Physician Fee Schedule included 7 new codes specific to care management. This webinar reviews how these differ from the care management codes available from the American Medical Association, common questions, and challenges for implementing these new codes.
Access a PDF of the slides here.
Principal Illness Navigation (PIN) Services Documentation, Coding, and Billing
The 2024 Physician Fee Schedule included 7 new codes specific to care management. This webinar reviews how these differ from the care management codes available from the American Medical Association, common questions, and challenges for implementing these new codes.
Access a PDF of the slides here.
Legislative Developments
The Clock is Ticking! Prevent Cuts to Medicare Reimbursement
November 11, 2022
Congress returned to Washington this week after the midterm elections to finish their legislative work for the year. Medicare providers are facing another round of significant payment cuts in January if Congress does not act by the end of the year. Tell them to address the cuts now!
The CY23 Medicare Physician Fee Schedule (MPFS) final rule jeopardizes the financial stability of many physician practices by cutting the Medicare conversion factor by nearly 4.5%. These cuts, combined with the pending threat of the 4% PAYGO reduction and the termination of the 2% sequestration moratorium in July 2022, result in a nearly 10% reduction in Medicare reimbursement.
It is vital that Congress takes the following actions to address the proposed cuts:
- Provide at least a 4.5% conversion factor adjustment for 2023 by passing the Supporting Medicare Providers Act of 2022 (H.R. 8800)
- Waive the 4% statutory PAYGO requirement
- Eliminate the 2% Medicare sequestration cuts
- Provide a one-year inflationary update based on the Medicare Economic Index
Your voice is vital! Please use ASCO’s ACT Network to contact your lawmakers today and urge them to act on pending Medicare physician reimbursement cuts before the end of the year.
NOS Joins 400+ Organizations in Support of MCED Legislation
May 5, 2022
The Nevada Oncology Society (NOS) joined more than 400 organization from all 50 states to urge Congress to pass the Medicare Multi-Cancer Early Detection (MCED) Screening Coverage Act (H.R.1946/S.1873) this year. This legislation would create a pathway for MCED tests to be covered by the Medicare program following approval by the Food and Drug Administration (FDA).
Read the Letter
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