Can anyone comment on whether there is a proton carve out with the Final Rule RO APM?

[Chartreuse Wombat]

Looking for someone that can comment.

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[WanderingRad3]

Final APM rule is not out yet

 

[Chartreuse Wombat]

Forgive ignorance. APM is separate from HOPPS and MPFS? Thanks

 

[Gfunk6]

Yes APM is the capitated payment model that CMS has proposed to roll out on 1/1/20 that will impact 40% of RO practices.
HOPPS changes in 2020 for RO have been discussed in other threads but include loosening of supervision requirements and acceleration of site-neturality (see here: 6 takeaways for cancer programs from the 2020 HOPPS Proposed Rule)
MPFS is the 2020 Medicare fee for service rates which are essentially unchanged from 2019.

 

[medgator]

Yes APM is the capitated payment model that CMS has proposed to roll out on 1/1/20 that will impact 40% of RO practices.

Selection occurs this month, no?

 

[Mandelin Rain]

I’d think so. 2020 ain’t exactly far away.

may least you’ll have a couple weeks to completely rearrange you billing system.

 

[medgator]

may least you’ll have a couple weeks to completely rearrange you billing system.

And stock up on the xanax (i kid, sortof).

 

[Gfunk6]

I’d think so. 2020 ain’t exactly far away.

may least you’ll have a couple weeks to completely rearrange you billing system.

I REALLY wish I had the foresight to create a start-up company that would offer practices analytics and operational/workflow support to help practices convert from FFS to APM. You could make a killing.

Who says government regulations don't create jobs?

 

[Chartreuse Wombat]

Yes APM is the capitated payment model that CMS has proposed to roll out on 1/1/20 that will impact 40% of RO practices.
HOPPS changes in 2020 for RO have been discussed in other threads but include loosening of supervision requirements and acceleration of site-neturality (see here: 6 takeaways for cancer programs from the 2020 HOPPS Proposed Rule)
MPFS is the 2020 Medicare fee for service rates which are essentially unchanged from 2019.

Thanks.