Oncology - additional resources

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

First Coast resources

• View recently released articles on billing and coding from the First Coast Medicare website.
• Preventive benefits
• 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 on the CMS website.
• Beneficiary notices - 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) 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
  • Allogeneic hematopoietic stem cell transplant for myelodysplastic syndromes (MDS)
  • Allogeneic hematopoietic stem cell transplant for multiple myeloma
  • Allogeneic hematopoietic stem cell transplant for myelofibrosis
  • Allogeneic hematopoietic stem cell transplant for sickle cell disease
  • CLIA approved proficiency testing programs
  • Lung cancer screening registries
  • NaF-18 PET for bone metastasis of cancer
  • Off-label use of colorectal cancer drugs
  • Pharmacogenomic testing for warfarin response
• Compendia 1861 (t)(2) - anti-cancer - national Medicare coverage documents
• Quality incentives and innovation models
  • New CAHPS® cancer care survey assesses patient experience in outpatient and inpatient settings - 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.
  • Oncology care model
  • Oncology care model fact sheet
  • Enhancing oncology model
  • Enhancing oncology model fact sheet
  • Radiation oncology model
  • Radiation oncology model fact sheet
• 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. 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. 

• Advanced Practitioner Society for Hematology and Oncology
• American College of Radiation Oncology (ACRO)
• American Medical Association (AMA)
• American Psychosocial Oncology Society (APOS)
• American Society for Therapeutic Radiology & Oncology (ASTRO)
• American Society for Transplantation and Cellular Therapy (ASTCT)
• American Society of Clinical Oncology (ASCO)
• American Society of Hematology (ASH)
• Association of Community Cancer Centers (ACCC)
• Association of Oncology Social Work (AOSW)
• Association of Physician Assistants in Oncology (APAO)
• Florida Cancer Registrars Association (FCRA)
• Florida Society of Clinical Oncology (FLASCO)
• Florida Society of Gynecologic Oncology (FSGO)
• Florida Society of Oncology Social Workers (FSOSW)
• Florida Medical Association (FMA)
• Hematology / Oncology Pharmacy Association (HOPA)
• Oncology Nursing Society (ONS)
• Puerto Rico Association of Hematology and Medical Oncology (Asociación de Hematología y Oncología Médica de Puerto Rico) (AHOMPR)
• Society for Immunotherapy of Cancer (SITC)
• Society for Integrative Oncology (SIO)
• Society of Gynecologic Oncology (SGO)
• Society of Surgical Oncology (SSO)
• Society for Urologic Oncology (SUO)
• Southern Association of Therapeutic Radiation Oncology (SATRO®) 

General resources

• Community Oncology Alliance (COA)
• Institute for the Future of Oncology
• Journal of Clinical Oncology (JCO)
• MedWatch - Food and Drug Administration (FDA) medical recalls
• National Cancer Institute (NCI)
  • NCI's Comprehensive Cancer Database (PDQ®)
• National Institutes of Health
• OncLive® - Official website for the oncology specialty group
• PubMed