NSHOA CANCER CENTER Conquering Cancer…Close To Home 15 Medical Oncologists 2 Radiation Oncologists...
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Transcript of NSHOA CANCER CENTER Conquering Cancer…Close To Home 15 Medical Oncologists 2 Radiation Oncologists...
NSHOA CANCER CENTER
Conquering Cancer…Close To Home
15 Medical Oncologists
2 Radiation Oncologists
6 Medical Oncology Locations
2 Radiation Oncology Locations
Patient Walkthrough: A Step by Step Process
New Patient Intake
Front Desk
Lab
Physician Appointme
nt
Course of Treatment
Prior Auth
Nurse Education
Benefit Counseling
On Site Pharmacy
Billing
Wellness / Nutrition
Clinical Trials
Insurance Verification
Treatment
Chemotherapy /
Radiation
Becoming a Patient
New Patient Navigator:
Arrange visit by acquiring all information and medical records
Inform patient on what is needed on first visit
Guide patient on what to expect upon arrival
Front desk receptionists will gather new or updated patient information
Direct patient’s to proper area based on type of appointment (i.e. lab, infusion, exam room)
Collection of co-pays and direct calls from hospitals, facilities, and other physicians
Check-out patient with follow-up appointment, reminder card, and copy of any result of tests performed
Patient Arrival: Front Desk
Laboratory: Hematology / Oncology
Full service laboratory at every site Insight into deficiencies or
over production of components in the blood
Complete Blood Count (CBC) is drawn on every patient Results within minutes
Infusion Therapy Common treatments for low
iron or B12
Circulating Tumor Cells (CTC) Assess prognosis of
patient’s with metastatic breast, colorectal, or prostate cancer
Flow Cytometry Routinely used in the
diagnosis of health disorders; i.e.. Blood Cancers
Physician Care
Consultation
Follow-Up Care
Discuss at length the results, diagnosis and course of action
Second Opinions Explore all available options
Referrals to specialists for further evaluation
Oversee and coordinate your entire cancer care by working with other medical professionals
Covering physician (“A” Doctor) for every location
Courses of Treatment
Innovative chemotherapy treatment and delivery methods
Plan for any side effects before they occur
Utilization of state of the art tumor testing to find right combination of drug for your specific cancer type Helps to avoid unnecessary toxicity
Radiation therapy IGRT IMRT Treatment available in same location as concurrent
chemotherapy
Ancillary Services
Diagnostic Imaging Computed Tomography (CT) Scans Positron Emission Tomography (PET) Scans Allows physician to make most informed and potentially effective
decisions for treatment
Clinical Trials Alternative option to standard treatment Helps doctors and future cancer patients to find a new promising
safe and effective treatment for all Currently offering 32 trials
CyberKnife Used for treating benign, malignant tumors and other conditions Delivers radiotherapy more accurately than standard radiotherapy
Provides a comprehensive overview and understanding of treatment
Familiarize the patient with names, rationale, side effects and support for side effects in a simple and realistic manner
A checklist to aid patients and families to have an active part in their healthcare and maintenance
A physical tour of the infusion center in which the patient will receive their treatment
Nurse Education
A Vital Component: Nutrition On staff Oncology
Registered Dietitian
Provides plan for a healthy diet in the fight against cancer both before and after treatment
Offers an array of nutritional supplements and vitamins readily available in office after consultation
A healthy diet creates an overall better quality of life
Helps improve side effects of cancer treatments such as: Loss of appetite
Nausea
Vomiting
Diarrhea
Constipation
Mouth sores
Taste changes
Weight loss/weight gain
Benefit Counseling
Prior Auth Obtain current insurance
verification on coverage, deductible, out-of-pocket, co-insurance
Determine Assistance Diagnosis Medicare vs. Commercial
Non-Profit Organizations
Co-Pay Cards
Drug Program (free drug)
Education on coverage
Cost of treatment
Application Process
Payment Plan
Discuss viable options Open Enrollment Affordable Care Act
(Exchange)
Identifying Financial Toxicity
Patient Discussion
On-Site Pharmacy
10 Injectable Drugs
25 Oral Chemotherapy Drugs
Dispense of medication within 24 hours
No delay in start of treatment Specialty pharmacies can take days
Refills can be coordinated with follow-up appointments
High Co-Pays – no problem Benefit Counseling provided for all
prescriptions
Next Day Billing
Bi-Weekly A/R Follow-Up
Available billers to discuss statements (even those not billed by our facility)
Establish hardship status on a case by case basis
Explain and dispute any denial on the patient’s behalf to their insurance
Built a network of relationships with provider reps and Medical Directors from various insurances
Billing: The Breakdown
What Makes Us Different
Open 7 days a week / physician on call 24 hours a dayKeeps patient’s out of hospital
Centralized CallsDirect contact for scheduling, messages, refills, etc
TriageFast & direct access to healthcare support and information
Patient Support GroupOutlet for survivors and active patients to openly discuss their journey
Patient Appreciation / FundraisersBecoming involved in the community and raise awareness for patient needs