RO-APM Final Rule
The RO Model will begin Jan. 1, 2021 and run through Dec. 31, 2025. Certain radiation therapy (RT) providers and RT suppliers that furnish RT services within randomly selected Core Based Statistical Areas (geographic areas determined by zip code) are required to participate in the RO Model. The RO Model will include 30% of RO episodes in eligible geographic areas.
Under the RO Model, Medicare will pay participating providers and suppliers a prospective, site-neutral, episode-based payment for specified technical and professional RT services furnished during a 90-day episode to Medicare fee-for-service beneficiaries diagnosed with 16 different cancer types.
With release of the final rule expected to be implemented January 1, 2021, we would like to understand comments and feedback you have on its provisions. Your feedback is important as we advocate for a delayed implementation date.
Learn more at https://innovation.cms.gov/innovation-models/radiation-oncology-model