Groundbreaking new reimbursement opportunities for oncology practices

CMS has expanded how practices are reimbursed for supporting patients’ non-clinical needs.

Patient Discovery can help.

Most practices stretch limited resources and budgets to help meet patient needs, but few are reimbursed for these activities as existing CMS codes are difficult to operationalize.

For 2024, CMS is rewarding the work being done to support unmet patient needs by:

  • expanding the practice staff eligible for reimbursement, including auxiliary staff

  • supporting investments in tools that allow practicesto efficiently identify and address unmet patient needs

Only 27%

of community oncologists say they are getting reimbursed for SDoH programs (1)

What could this mean for your practice?

For oncology practices, this shift not only supports improved care quality and outcomes for patients but also the financial and operational health of the practice.

When using the Patient Discovery platform to help identify and address patient needs, the average community oncology practice could see additional reimbursements of up to $1 million per year.(2)

~$1M

of new reimbursements annually using the Patient Discovery Solution

Unlock these new opportunities with Patient Discovery

A low-cost, easy-to-use solution, Patient Discovery meets the new CMS requirements for a standardized, digital tool used to administer SDoH risk assessments, and performs the staff time capture required for effective revenue cycle management.

1. AmerisourceBergen (now Cencora) Community Oncology Social Determinants of Health Survey, February 2023
2. Figure based on a community oncology practice of approximately 5 physicians