Prior Authorization Issues Form
ASTRO seeks feedback about the burden that prior authorization places on radiation oncology practices and patients, which will be used to enable ASTRO to advocate for much needed reforms.
Reimbursement
This section is rich in information that educates and assists members in receiving the correct reimbursement for the cancer treatments provided to their patients. Keeping apprised of policy and coverage issues, as well as staying up-to-date on Medicare and private payer news and initiatives, are critical for running a successful practice.
Medicare
CMS publishes Proposed and Final Rules each year that address certain provisions and changes to Medicare payment policies.
Code Development
ASTRO works in coordination with the American Medical Association’s Current Procedural Terminology (CPT) Editorial Panel to establish new radiation oncology CPT codes.
Private Payers
ASTRO is actively engaged in working with private insurance organizations in areas that impact coverage and payment of radiation therapy services.
Model Policies
ASTRO model policies were developed as a means to efficiently communicate what ASTRO believes to be correct coverage policies for radiation oncology services.
