The Centers for Medicare and Medicaid Services (CMS) has released the calendar year 2022 Medicare Hospital Outpatient Prospective Payment System (HOPPS) and Ambulatory Surgical Center (ASC) proposed rule. The American College of Radiology® (ACR®) has created this initial review of provisions within the HOPPS proposed rule that may impact radiology or radiation oncology.
CMS proposes significant changes to the Radiation Oncology (RO) Model. Under the RO Model, Medicare would pay participating providers and suppliers a site-neutral, episode-based payment for specified professional and technical radiation therapy services furnished during a 90-day episode to Medicare fee-for service beneficiaries diagnosed with certain cancer types.