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CMS starts paying for patient navigation; ACS offers navigation credentialing program


Medicare has started to pay for navigation for guiding patients through the maze of health care services in settings where treatment involves multiple specialties.

Under the Biden Administration’s Cancer Moonshot initiative, the Centers for Medicare and Medicaid Services, has created four CPT codes that will allow health care providers to bill for services known collectively as “patient navigation.”

“This is one of the biggest celebrations  we’ll possibly have in my time at the American Cancer Society. This truly is a major step forward toward improving outcomes from cancer,” Karen Knudsen, CEO of the American Cancer Society, said to The Cancer Letter. “We’re super passionate about this, as you can tell. We’re not going to have wins like this every year.”

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