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REIMBURSEMENT UPDATE

Action Alert!: Urge Your Members of Congress to Support HR 4215

Be The Match Legislative TeamNational Marrow Donor Program/Be The Match's Public and Payer Policy team was in Washington D.C. this week with Gary Goldstein (Stanford Health Care) and Reagan Cussimanio (University of Kansas) to meet with Members of Congress and discuss the importance of passing HR 4215: Protect Access to Cellular Transplant (PACT).

If passed, this legislation would require Medicare to reimburse hospitals for donor search and cell acquisition services on a reasonable cost basis separately from MS-DRG 014 inpatient payment.

Your Members of Congress need to hear from YOU about the impact of this legislation and what it will mean for Medicare patient access to HCT! Please ask your Members of Congress to support and co-sponsor HR 4215.

Contact payerpolicy@nmdp.org with any questions. 

New Comprehensive CAR-T Coding Guidance Document from ASBMT

If you missed last month’s American Society for Blood and Marrow Transplantation (ASBMT) webinar on CAR-T Coding and Reimbursement, you can access the guidance document that was presented during the webinar and now posted to the ASBMT 2017 Helpful Coding Links page. 

Join Us at the 2018 BMT Tandem Meetings

Come see the following presentations at the 2018 BMT Tandem Meetings, February 21 – 25 in Salt Lake City!

Oral Presentations

Co-Design of a Hematopoietic Cell Transplant e-Learning Module for Patients on Fertility Preservation and Family Planning
BMT Nursing oral obstracts; Thursday, February 22, at 1:30 p.m.
In collaboration with Northwestern University's Oncofertility Consortium, we've created an interactive resource to help patients understand how their fertility is affected by HCT and to help both health professionals and patients navigate available resources.

A National Survey Study of Transplant Physicians' Attitudes About Palliative Care
Thursday, February 22, at 4:45 p.m.
Learn about the results from a cross-sectional survey on transplant physicians' access to palliative care services and their perceptions/attitudes about palliative care.

CMS Super Session: Medicare Updates, Case Studies and Hot Topics Panel Discussion
Administrative Directors Conference; Thursday, February 22, from 10:30 a.m. to 12:00 noon 
Get the latest need-to-know updates on Medicare coverage, reimbursement and billing guidance from experts Jugna Shah, President of Nimitt Consulting, Susan Leppke, Director of NMDP/Be The Match Public and Payer Policy, and Stephanie Farnia, Director of ASBMT Health Policy and Strategic Relations.

Poster Presentations

Estimating Propensity Scores for the Receipt of Allogeneic Hematopoietic Cell Transplantation (AlloHCT) in Outcomes Research Using Claims Data: A Machine Learning Approach
Poster #370; presenter scheduled Wednesday, February 21, from 6:45 - 7:45 p.m.
Learn how machine-learning algorithms can be used to predict allogeneic HCT treatment and outcomes through propensity scoring and how this method compares to traditional logistic regression methods of calculating propensity scores.

Review of Commercial Coverage oplicies and Reference of ASBMT's HCT Indications Guidelines
Poster #641; presenter scheduled Saturday, February 24 from 6:45 - 7:45 p.m.
Understand the impact of 
ASBMT’s published standard indications guidelines on commercial insurance coverage of HCTY and learn how coverage policies are developed.



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If you have any questions or need additional information, please contact the Payer Policy Team at PayerPolicy@nmdp.org. All of our resources are available on our website: Network.BeTheMatchClinical.org/Reimbursement.

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