Awareness : OBC Tips

Improper Payment for Intensity-Modulated Radiation Therapy Planning Services

Recently, the Office of Inspector General (OIG) identified that payments for outpatient Intensity-Modulated Radiation Therapy (IMRT) did not comply with Medicare billing requirements. Specifically, hospitals billed separately for complex stimulations when they were performed as part of IMRT planning. Overpayments occurred because hospitals are unfamiliar with or misinterpreted CMS guidance.

Use the following resources to bill correctly: