The start of the RO Model looms like a dragon in the distance, blocking your way to Medicare reimbursement.
At Shavara we specialize in radiation oncology billing. Our Iridium Suite billing software has been designed to optimize radiation oncology reimbursement.
We have designed an arsenal of weapons to cut through the complications of billing under the RO Model. Here are a few:
- Once you have entered your patient’s insurance, treatment location and diagnosis, we are able to check for RO Model eligibility. This allows you to set the billing course up correct from the beginning ensuring the proper procedures are followed.
- When the treatment planning code is entered, the software can be set up to automatically select the correct professional RO Model Specific HCPCS code AND add the V1 modifier. It will also put the planning code on hold since it cannot be billed until first half of the episode payment has been received.
- For global practices, when the first treatment delivery code in entered, the software can be set up to automatically select the correct technical RO Model Specific HCPCS code AND add the V1 modifier.
- As all your RO service codes are entered during the course of treatment, they are automatically held as well so as not to generate before that first payment.
- When your course is completed, the software can be set up to select the correct professional and if applicable technical RO Model Specific HCPCs codes and add the V2 modifier. It will also release any remaining codes on hold and send them on a separate claim from the RO Model codes.
Take the fear out of the RO Model by contacting us today for a free demo at:
