Remote supervision extended by CMS through the end of 2025
Started by Gfunk6
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Even ASTRO is being forced to come around... Big change between that letter from Jeff Michalski in Feb 2024 and this in July:
Good point. How stupid do you think ASTRO looks to CMS by sending them a letter and a few months later taking a contrary position based on member feedback? This little episode has probably shredded whatever credibility ASTRO has with CMS and may prevent other initiatves like ROPR from being passed.
Also, ASTRO recommended that OTVs be in person with the Rad Onc. This was not adopted by CMS:
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I publicly commented on this. Not many people did in terms of lobbying pro-tele. I think just me, Jordan Johnson, and the MSKCC group.
Here was my comment (I found it, deleted my prior post).
I found this to be a good use of my time and plan comment and write my representatives more often going forward. Certainly as long as a small group continues to try to speak for the whole field.
I found this to be a good use of my time and plan comment and write my representatives more often going forward. Certainly as long as a small group continues to try to speak for the whole field.
About as credible as ASTRO looked trying to lobby Cigna/Evilcore about the EBM benefits of proton therapy
Just a winning leadership organization for our specialty all around
Anything Astro touches turns to 💩
Bet heavy against any initiative they bring up
Bet heavy against any initiative they bring up
Any updates as to what is going on with ROCR?
This is well done. Thank you.
One of my fears is that our importance/skill set is not downplayed by making it sound like anyone can do our job in person or remote. You do a good job of not minimizing us while still allowing for flexibility.
Its in the final rule, here is the fact sheet from CMS (does not mention 77427). The final rule itself is like 1000+ pages. You could download it and word search 77427 to get the language.
Calendar Year (CY) 2025 Medicare Physician Fee Schedule Final Rule
On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a rule finalizing changes for Medicare payments under the PFS and other Medicare Part B policies, effective on or after January 1, 2025.The CY 2025 PFS final rule is one of several final rules that reflect a broader...
ASTRO and/or ACRO usually put out some kind of radiation oncology specific summary each year, but I have not seen that yet for 25.
Note, this is just for patients under medicare. Other insurances can follow these rules, or not. If you are employed, your company rules are a lot more important. I have heard some companies just don't allow telehealth anymore at all. Mine requires a special note template.
You should also check if using telehealth affects your RVUs, 77427 is a significant RVU generator for most Rad Oncs.
Will do. Thank you.Its in the final rule, here is the fact sheet from CMS (does not mention 77427). The final rule itself is like 1000+ pages. You could download it and word search 77427 to get the language.
Calendar Year (CY) 2025 Medicare Physician Fee Schedule Final Rule
On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a rule finalizing changes for Medicare payments under the PFS and other Medicare Part B policies, effective on or after January 1, 2025.The CY 2025 PFS final rule is one of several final rules that reflect a broader...www.cms.gov
ASTRO and/or ACRO usually put out some kind of radiation oncology specific summary each year, but I have not seen that yet for 25.
Note, this is just for patients under medicare. Other insurances can follow these rules, or not. If you are employed, your company rules are a lot more important. I have heard some companies just don't allow telehealth anymore at all. Mine requires a special note template.
You should also check if using telehealth affects your RVUs, 77427 is a significant RVU generator for most Rad Oncs.
Is anyone conducting these videos as phone visits (audio only), or is video necessarily required?
I believe video is required.
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Not sure if you want to wait for ASTRO/ACRO to spin this to 'justify' whatever their 'position' was.
True. But I need a Cliff's notes version that's not a message board.
Haha a fair concern to be sure, but generally these are reporting out facts and they dont have spin. Its just codes and price changes.
Good thing we can all see this straight from CMS and bridge.
Does anyone on this forum truly believe igrt is a "diagnostic" service?
A Beckta podcast, or three, on IGRT calls this “theory of the case” into question
