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The Centers for Medicare & Medicaid Services (CMS) has implemented a new Medicare demonstration project for 2006. Physicians who elect to participate will receive an additional $23 demonstration payment for reporting one Medicare G-code describing each of the following three factors (i.e., three codes in total) in conjunction with a level 2, 3, 4, or 5 established patient office visit:
Primary focus of visit
Adherence to practice guidelines established by ASCO and/or National Comprehensive Cancer Network (NCCN)
Current disease state
ASCO has developed a series of summaries and documentation tools to assist our members in participating in the CMS 2006 Oncology Demonstration Project
ASCO Guidelines: Synopsis of Recommendations
This document is organized by diagnosis, and provides synopses of guidelines recommendations relevant to the demonstration project.
Diagnosis-Specific Resources
ASCO has developed sample documentation templates for each of the specific diagnoses included in the Demonstration Project.Use and inclusion of these templates in the patient record will fulfill all Medicare documentation requirements for the demonstration:
