Radiation Oncology Consulting

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Radiation Oncology Consulting Radiation Oncology Consulting LLC offers education, auditing reviews, and interim management.

01/01/2023
Thank you for a wonderful birthday lunch
19/09/2022

Thank you for a wonderful birthday lunch

What a great birthday!
02/09/2022

What a great birthday!

The last time I saw her was July 6 I just can’t believe she’s gone
17/08/2022

The last time I saw her was July 6 I just can’t believe she’s gone

This was the last time that I saw Malin on July 6 I still can’t believe she’s gone
17/08/2022

This was the last time that I saw Malin on July 6 I still can’t believe she’s gone

September 9, 2021 ASTRO Advocates Against Proposed Radiation Oncology Cuts Set for January 1, 2022  Today, ASTRO submitt...
09/09/2021

September 9, 2021

ASTRO Advocates Against Proposed Radiation Oncology Cuts Set for January 1, 2022

Today, ASTRO submitted official comment letters to the Centers for Medicare and Medicaid Services (CMS) in response to the 2022 Medicare Physician Fee Schedule (MPFS) proposed rule, as well as needed changes to the Radiation Oncology Alternative Payment Model (RO Model), as found in the 2022 Hospital Outpatient Prospective Payment System (HOPPS) proposed rule. Due to the proposed actions in both rules, radiation oncology cancer treatment services would experience $300 million in reductions effective January 1, 2022. Roughly half of the $300 million in cuts stem from the RO Model, while the rest are caused by proposed changes to the 2022 MPFS. ASTRO has provided an executive summary of the two comment letters.

ASTRO is very concerned about the financial implications that both proposals will have on access to care for cancer patients and the viability of radiation oncology practices, particularly those practices that serve rural and disadvantaged communities. In addition to comment letters, ASTRO issued an official statement and launched an advertising campaign to urge the Biden Administration to take action against these significant reductions. Please amplify these messages via your social media accounts by quote retweeting ASTRO’s tweets on the topic and tagging the President (), HHS ( or ), CMS ( or ) and your members of Congress.

ASTRO anticipates that final rules will be issued in November. During the interim, ASTRO will continue to advocate for changes to these proposals through continued engagement with CMS, as well as with members of Congress and the Biden Administration. ASTRO already has met with senior officials at the White House and Health and Human Services Department, as well as congressional health care leaders, with more meetings planned. ASTRO also is working closely with radiation oncology stakeholder organizations on a unified advocacy strategy to combat the cuts.

AMERICAN SOCIETY FOR RADIATION ONCOLOGY
251 18TH STREET SOUTH • 8TH FLOOR • ARLINGTON, VA • 703-502-1550
www.astro.orgwww.rtanswers.org

RO Model Start Date Delayed!Late Wednesday, October 21st, CMS announced that the implementation of the RO Model APM that...
23/10/2020

RO Model Start Date Delayed!

Late Wednesday, October 21st, CMS announced that the implementation of the RO Model APM that was scheduled to begin January 1, 2021 has been pushed back to July 1, 2021. PLEASE CONTINUE TO GIVE YOUR FEEDBACK TO CMS!!!!

You can visit the CMS RO Model website for RO Model information:

UPDATE: (10/21/2020) - CMS has received feedback from a number of stakeholders about the challenges of preparing to implement the RO Model by January 1, 2021. Based on this feedback, CMS intends to delay the RO Model start date to July 1, 2021. We are pursuing rulemaking to make this change.

https://www.justice.gov/opa/pr/former-cancer-center-president-indicted-participation-long-running-antitrust-conspiracyFo...
26/09/2020

https://www.justice.gov/opa/pr/former-cancer-center-president-indicted-participation-long-running-antitrust-conspiracy
Former Cancer Center President Indicted For Participation In Long-Running Antitrust Conspiracy
A federal grand jury returned an indictment against Dr. William Harwin, founder and former President of Florida Cancer Specialists & Research Institute LLC (FCS), for conspiring to allocate medical and radiation oncology treatments for patients in Southwest Florida, the Department of Justice announced today.
Department of Justice
Office of Public Affairs
The indictment, filed in the U.S. District Court in Fort Myers, Florida, charges Harwin for participating in a criminal conspiracy with a competing oncology group in Collier, Lee, and Charlotte counties (Southwest Florida). Beginning as early as 1999 and continuing until at least 2016, Harwin and his co-conspirators entered into an illegal agreement to allocate medical oncology treatments, such as chemotherapy, to FCS and radiation oncology treatments to a competing oncology group. The conspiracy allowed FCS and the competing oncology group to operate with minimal competition in Southwest Florida and limited valuable integrated care options and choices for cancer patients.
“As the charge demonstrates, the division remains committed to holding culpable executives accountable for their crimes, especially when they impact vulnerable Americans, such as those in need of life-saving treatments,” said Assistant Attorney General Makan Delrahim of the Department of Justice’s Antitrust Division. “The Antitrust Division will continue to work to protect competition and integrity in the healthcare industry.”
“It is unconscionable for a doctor to prioritize profits over patient care," said Michael F. McPherson, Special Agent in Charge of the FBI Tampa Field Office. “The FBI will persist in exposing unscrupulous medical providers who deny the public access to a competitive healthcare marketplace.”
The indictment follows a felony charge filed against FCS in April 2020 for its role in the same conspiracy in which Harwin is alleged to have participated. The Antitrust Division and FCS resolved the charge with a deferred prosecution agreement, under which the company admitted to conspiring to allocate treatments for cancer patients and agreed to pay a $100 million criminal penalty. FCS also agreed to waive and refrain from enforcing any non-compete provisions with its current or former oncologists or other employees who, during the term of the deferred prosecution agreement, open or join an oncology practice in Southwest Florida.
An indictment merely alleges that a crime has been committed, and all defendants are presumed innocent until proven guilty beyond a reasonable doubt.
The charge in the indictment carries a maximum penalty of 10 years in prison and a $1 million fine for individuals. The maximum fine may be increased to twice the gain derived from the crime or twice the loss suffered by victims if either amount is greater than $1 million.
Today’s announcement is the result of an ongoing federal antitrust investigation into market allocation and other anticompetitive conduct in the oncology industry, which is being conducted by the Antitrust Division’s Washington Criminal II Section and the FBI’s Tampa Field Office – Fort Myers R.A. Anyone with information in connection with this investigation or anticompetitive conduct in the healthcare industry generally is urged to contact the Antitrust Division’s Citizen Complaint Center at 1-888-647-3258 or visit https://www.justice.gov/atr/contact/newcase.html.

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22/09/2020

CMS released on August 4th a nearly 11% cut to the Medicare physician fee schedule’s conversion factor. In 2021 the conversion factor will be $32.26 down from $36.09 in 2020.

CMS contributes this decrease due to the projected pay increases to E/M office visit codes (99202-99215). This is the first overhaul in 25 years.

However, this decrease will translate decrease in payment for many services.

Stay tuned; this is budget neutrality for you

The RO Modeling plan.  Looks concerning.
18/09/2020

The RO Modeling plan. Looks concerning.

The Radiation Oncology (RO) Model aims to improve the quality of care for cancer patients receiving radiotherapy (RT) and move toward a simplified and predictable payment system. The RO Model tests whether bundled, prospective, site neutral, modality agnostic, episode-based payments to physician gro...

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