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RO Model Billing is a step by CMS to innovate in the oncology sector. It is unclear whether it will succeed or not, but CMS is certainly trying a significant change using this episode based billing model. The new RO Model Billing will affect not just the medical billing side but also the treatment as it dictates timing and reimbursement requirements that if aren’t met could lead to treatment choices. CMS of course hopes that in the long term this will improve the quality of treatment, but in the short terms the changes will create difficulties for practices. The RO Model Payment requirements are significant. It puts practice at risk of losing reimbursement.
The best thing your medical practice can do is acquire tools to help with RO Model Billing. Iridium Suite medical billing software offers a solution that will automate the process and ease the work flow concerns so you can keep your focus on patient care and treating this disease.