In Coding
Oct 31st, 2019
Recently established coverage of the revolutionary cancer therapy Chimeric Antigen Receptor T-cell (CAR T-cell) provides Medicare patients with access to this cutting-edge treatment. The article Innovative CAR T-Cell Cancer Therapy Now Available to Medicare Beneficiaries breaks down Gilead Sciences’ Yescarta (axicabtagene ciloleucel) for acute lymphoblastic leukemia and Novartis’ Kymriah (tisagen...
In CMS
Aug 27th, 2019
Now that revolutionary cancer therapy, Chimeric Antigen Receptor T-cell (CAR T-cell), is covered, let’s take a look at coding CAR-T. Last month the Centers for Medicare & Medicaid Services (CMS) finalized the long-sought rules for coverage of CAR-T, novel cutting-edge, often curative treatments that utilize the patients’ own genetically modified immune cells to fight cancer. The ...
In CMS
Aug 12th, 2019
Expensive cutting-edge cancer therapy is now covered. Last week the Centers for Medicare & Medicaid Services (CMS) finalized their long-awaited decision to make Chimeric Antigen Receptor T-cell (CAR T-cell) therapy, a type of cancer treatment that uses a patient’s own genetically modified immune cells to fight cancer, available to Medicare patients nationwide. This determination enables ...
In Billing
Mar 28th, 2019
With or without a rhyme or reason, you can count on coding changes popping up throughout the year. In addition to April updates to the Medicare Physician Fee Schedule (PFS), providers billing under the Outpatient Prospective Payment System (OPPS) should be aware of four new CPT codes, a new advanced diagnostic laboratory test, additions to ...