Medicare Coverage Issues ASCO would like to hear if you or your practice is facing any Medicare coverage challenges. Submit Coverage Issues

ASCO provides general information and resources for members and their staff to better understand the Medicare program and its various components. Items of interest include:

Understanding Medicare

Get basic information about Medicare, including details on the various parts of the program. Learn More

Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS)

Because the MPFS and HOPPS have an impact on oncology practices, ASCO provides summaries of and comments on the rules each year. Learn More

Medicare Part B Drug and Average Sales Price

Access information on reimbursement of drugs, a process that typically falls outside of the MPFS. Learn More

ASCO’s Carrier Advisory Committee (CAC) Program

ASCO provides a number of educational resources on Medicare Administrative Contractors (MACs). These resources have been developed for the oncology community and for Carrier Advisory Committees (CAC) representatives. Specific resources have also been developed for CAC representatives, all of which can be found in this section:

• State Medicare Contact Information
• Medicare Administrative Contractors (MACs)
• Carrier Advisory Committees
• Local Coverage Decisions
• ASH/ASCO CAC Network Meeting

Recovery Audit Contractor (RAC) Program

Get information on how the Centers for Medicare and Medicaid Services (CMS) supports efforts to identify fraud and abuse. Learn More

“Adapting to Changes in Medicare” National Webinar

View valuable updates on Medicare regulations and more from ASCO. Learn More