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Last Modified: 2/7/2025 Location: FL, PR, USVI Business: Part A, Part B

Oncology/Hematology -- additional resources

Listed below are additional resources identified specifically for oncology and hematology services:

First Coast resources

View recently released articles on billing and coverage from the First Coast Medicare website.
Telehealth services -- Medicare pays for a limited number of Part B services furnished by a physician or practitioner to an eligible beneficiary via telecommunications system. You can provide some services under this specialty via telehealth.
Information on the PWK process -- PWK allows documentation to be submitted with an initial claim. This process can be beneficial to those billing oncology and hematology drugs which require specific information to be supplied before processing the claim.

CMS resources

Visit the Physician Center external link on the CMS website.
Beneficiary notices external link -- Both Medicare beneficiaries and providers have certain rights and protections related to financial liability under the Medicare program. These financial liability and appeal rights and protections are communicated to beneficiaries through notices given by providers.
Clinical Laboratory Improvement Amendments (CLIA) external link web page -- Congress passed the CLIA in 1988 establishing quality standards for all laboratories testing to ensure the accuracy, reliability and timeliness of patient test results, regardless of where the test was performed. The CLIA regulations are based on the complexity of the test method; thus, the more complicated the test, the more stringent the requirements.
Clinical trials, approved facilities and registries
Compendia 1861 (t)(2) - Anti-cancer external link -- National Medicare coverage documents
Quality incentives and innovation models
New CAHPS® Cancer Care Survey assesses patient experience in outpatient and inpatient settings external link -- The new Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Cancer Care Survey offers providers a new tool for understanding and improving their patients’ experiences with cancer treatment in outpatient and inpatient settings. Organizations can download and use three instruments for different cancer treatment approaches: radiation oncology, medical oncology and cancer surgery. The purpose of the survey is to support the efforts of cancer centers, oncology practices, hospitals and health systems to improve the patient centeredness of cancer care.
Telehealth Services external pdf file -- Medicare pays for a limited number of Part B services furnished by a physician or practitioner to an eligible beneficiary via telecommunications system. You can provide some services under this specialty via telehealth. View this booklet for more information on eligible services. (ICN 901705)

Professional associations

The resources below are external to First Coast and CMS and are being offered for your convenience. First Coast and CMS are not responsible for the content or maintenance of these external sites.

General resources

MedWatch external link -- Food and Drug Administration (FDA) medical recalls
OncLive® external link -- Official website for the oncology specialty group
PubMed external link
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.