Skincure is suing CMS

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
For context to the ignoratti, the code used to be G6001 and reimbursed about $150 per fraction. The total national reimbursement was about $30 million a year (not that much really). It was a “rad onc” code but only derms (and some ENTs and family practice types) ever billed it. The new US IGRT code is something like 77439 and reimburses ten bucks but only once for the entire treatment course.
 
When the Advances article came out supporting daily IGRT with US for NMSC, I recorded a short podcast lambasting it and contacted editors of Advances. They said to write a LTE. I said this email is my LTE, but I also recorded, feel free to listen. Then, the article goes dark for several months. Then, it comes back up with some mealy mouthed comments about potential COI. This article, I believe first author was a med student applying to dermatology, is their medical necessity support and many payors allow it based on this.

The editors of the journal barely looked at it, provided zero true peer review and let the authors publish an advertisement rather than a scientific journal article. This is in a radiation oncology journal owned by ASTRO. When pushed on this, they claim that it did go through review. I am not an academic and never have been, but even cursory reading of it found a dozen flaws. If someone smart reviewed it, there is no way it gets published.

You'll see in media and social media about this lawsuit that this specific journal article is what they are continuing to hold up as support.

Own goals are our thing.
 
The written "cover story" for this goof is very Rad Onc.

1777395071949.png