In January 2024, the Centers for Medicare & Medicaid Services (CMS) began reimbursing navigation services to support the Cancer Moonshot Program. Studies show that providing cancer patients with navigation services improves quality, outcomes, experience, and retention. However, many organizations struggle to justify the financial cost of these programs.
The new reimbursement from CMS will allow providers to bill four new navigation Current Procedural Terminology (CPT) codes monthly and enhance programs for their patients.
This fact sheet highlights key elements of the new rule, new layers of complexities it creates, and what providers can do to support billing and patient needs moving forward.
“Under the new guidelines, organizations can prioritize patient needs while managing the realities of patient journey billing requirements.”
