Coding for Chemotherapy and Oncology Services has long been a challenging area for many coders nationwide. This seemingly universal struggle is due a variety of issues including the vast instructional notes related to the codes, the hierarchy rules – which can be hard to get a clear grasp on, and of course payer-specific policies. When approaching coding for chemo, we can think of it a bit like playing poker. It’s important that you know not only what you have in your hand, but also the rules of the game, such as which cards trump the others; and what cards can be played together. Coders, much like poker players, need to have a keen understanding of the definitions of multiple terms in order to achieve success with chemo codes—coders need to know all their options when trying get the best hand possible:  which procedures will outrank others; do we need to report them in a certain order? Just as an ace trumps a jack, so too chemotherapy trumps other procedures.

In this session we will help you to hedge your bets when reporting oncology services to help ensure correct coding and optimal reimbursement for your facility or practice.

Topics include:

• CMS Regulatory Guidance for Billing Oncology Services
• CPT codes for Oncology Services
• HCPCS Codes for Drugs

Attend this session to learn to:
• Utilize learned information to make accurate decisions regarding coding for oncology services • Apply rules for selecting the diagnosis and achieving medical necessity for reported services
• Describe key CMS rules and regulations specific to oncology services and apply this knowledge in your own facility/providers claims.

Cost for this event is $99 per person.
Send in your toughest questions when you register for this event.

For questions email us: or call 877-976-6677

This presentation is written by Paula Digby and Heather Bryans.

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