View the Administration Benefits PDF

Reimbursement for survivorship activities generally fall under the Local Coverage Determination for Medicare fiscal intermediaries. Some intermediaries already reimburse for survivorship follow-up. For example in Virginia, the fiscal intermediary currently reimburses some nurse-practitioner-led follow-up activities using standard CPT codes. Furthermore, Bill H.R. 1078 could result in additional Medicare funds to support survivorship programs.

Will third-party payers follow Medicare and provide financial support to survivorship programs? Do they have an economic incentive to do so? We believe the answer to both questions is yes.