By Michael LeCompte, MS
The Committee of Health Equity, Diversity, and Inclusion (CHEDI) of ASTRO developed the Minority Summer Fellowship (MSF) as an opportunity to introduce medical students from backgrounds that are underrepresented in medicine to the field of radiation oncology. The program provides a framework for medical students to gain meaningful early exposure to the specialty that both encourages interest and provides mentorship within the field. MSF awardees work with a mentor on a research project and are required to submit their work for presentation at the subsequent ASTRO Annual Meeting. For the 2020 cycle, four students will be offered a package of $5,000: a $4,000 stipend for the eight-week training program and a $1,000 grant toward travel to the 2021 ASTRO Annual Meeting.
I first learned of the MSF through my school’s Student Affairs office. At this point, I had previously shadowed within the Wake Forest Department of Radiation Oncology and had collected data for a few residents’ research projects. I had a basic understanding of certain elements within radiation oncology and was fascinated by all I had seen thus far. Radiation oncology allows physicians to help patients process the uncertainty associated with a cancer diagnosis and build actionable, evidence-based treatment plans. This blend of social support and scientific application resonated with what I was looking for in a specialty, and the MSF was the avenue that would permit me to explore this specialty further.
The MSF allows the recipient to design a research project with a mentor to be completed over the eight-week training program. I was fortunate to find mentors who empowered me to identify my own research questions. Through conversations with Dr. Karen Winkfield and Dr. Michael Chan, we found ways to leverage my prior knowledge within diabetes research and investigate topics I was already personally interested in. This allowed me to more easily take an active role in designing our research project. We investigated the impact of diabetes mellitus and anti-diabetic drugs on the clinical outcomes of brain metastasis patients treated with stereotactic radiosurgery. The research completed through this experience was presented at the 2018 ASTRO Annual Meeting and has been published in the Red Journal and the Journal of Radiosurgery and SBRT.
The MSF training program may last for just a summer, but the connections I made during this experience continue to influence my career plans. I was able to make lasting connections with mentors both inside and outside my home institution. During the training program, I continued shadowing Dr. William Blackstock, who has always been there to offer advice and guidance along my path in medicine. Under the guidance of Dr. Chan, I have continued my research in clinical outcomes of brain metastasis patients, specifically the study of the concept of brain metastasis velocity. My project with CHEDI served as a stepping stone to a research experience that has seen me present at the inaugural Conference on Brain Metastases sponsored by the Society of Neuro-Oncology.
CHEDI also provides MSF awardees a liaison. For me, that person is Dr. Christian Okoye of St. Bernards Cancer Center, who has been there to check in on my progress in medical training and offer encouraging words. Other members of CHEDI have also served as mentors. I have been able to discuss my research and career plans with members of CHEDI over phone calls and in person at national meetings. Through mentorship, the MSF helps medical students further develop their career goals and grow toward their true potential.
This experience affirmed my fascination with the specialty and ultimately helped me in choosing to apply for residency in radiation oncology. I cannot express how appreciative I am to the members of CHEDI for offering me this wonderful opportunity, and I encourage others to apply. The application for the 2020 cycle is currently open with a deadline of Friday, February 7, 2020.
Michael LeCompte, MS, is a fourth-year medical student at Wake Forest School of Medicine. He was one of two recipients of the 2017 ASTRO Minority Summer Fellowship Award.
By Corbin Johnson, MD, CUAC chair, and Nikhil Thaker, MD, CUAC vice-chair
As radiation oncology heads into 2020, are you worried about whether your practice has its coding compliance in order and is up to speed on new coding rules? ASTRO, the authority on radiation oncology coding, is rolling out an updated ASTRO Radiation Oncology Coding Resource and hosting a Coding and Coverage Seminar to help practices get off to the right start in the new year.
ASTRO’s Code Utilization and Application Committee (CUAC) works throughout the year to ensure that the radiation oncology (RO) community has access to comprehensive tools that assist with consistent application and interpretation of the Current Procedural Terminology (CPT®) code set most commonly used in RO. The CPT system, developed by the American Medical Association (AMA), is a highly technical process. New codes are developed, redefined and revalued every year for physicians and other qualified health care providers to report services provided in a universal manner to institutions, private and government payers, researchers and other interested parties. ASTRO actively provides input to the AMA and other groups that update the CPT coding system to ensure that CPT coding accurately reflects the clinical logic and level of effort that is required in RO.
Annual Coding and Coverage Seminar and Resource
CUAC’s primary responsibility is to understand the impact of these changes on coding for radiation oncology services. This includes providing membership with educational programs and materials that include the most recent and up-to-date coding guidance. One of the most popular educational programs that ASTRO offers to the RO community is the annual Coding and Coverage Seminar. This two-day seminar held at ASTRO headquarters provides a comprehensive overview of the many factors that affect the complex and ever-changing aspects of coding in clinical practice. The seminar is geared to make clinical coding easier to understand and applicable to those new to coding as well as for those with experience who are looking to hone their skills. This year’s seminar will take place on December 6 and 7 in Arlington, Virginia. Registration is currently open on the ASTRO website.
In addition to the seminar, CUAC also produces the ASTRO Radiation Oncology Coding Resource. The Coding Resource is designed as an orientation and reference document to assist physicians, their practice administrators and their staff to develop accurate coding and documentation procedures to support billing for RO services. The ASTRO Radiation Oncology Coding Resource is an essential coding reference for all radiation oncology practices, and ASTRO strongly encourages all coding/billing professionals to utilize this resource in their daily practice. This resource is updated twice a year to ensure that it reflects the most up-to-date information on CPT coding, rules and regulations related to radiation therapy. Coding and Coverage Seminar attendees will receive a copy of the updated Coding Resource as part of their registration.
Additional ASTRO coding resources
In addition to the comprehensive ASTRO Coding Resource and annual Coding and Coverage Seminar, ASTRO provides the RO community with coding education through regularly updated coding FAQs, Coding Guidance Articles and Coding Updates on the ASTRO website. If ASTRO members have coding questions that are not answered through these various resources, or if further clarification on a nuanced topic is needed, they are encouraged to submit the question through the ASTRO Coding Question submission form. The questions submitted through the Coding Question submission form are processed through CUAC during their monthly meeting, and members are provided an answer to their questions via email. While providing individualized coding guidance to members, this question form also enables CUAC to keep track of frequently asked questions and topics that may have significant importance to the membership at large.
It's important to remember that correct coding encourages efficiency, reduces audit risk and claim rejections and facilitates efficient reimbursement. Additionally, accurate coding and proper supporting documentation demonstrate an understanding of the process and delivery of patient care. While correct coding reflects the process of care, it is vital to acknowledge that coding does not drive the process of care. Selection of codes should not be based on reimbursement but rather on the services provided by the physician that are considered medically necessary while caring for the patient. The physician of record is held responsible not only for all aspects of patient care but also for all codes and documentation submitted in his or her name. Arming yourself with a thorough understanding of these key elements and taking advantage of ASTRO’s educational resources can lead to successful practice management.
Corbin Johnson, MD is a radiation oncologist at Vanderbilt University Medical Center. Dr. Johnson currently serves as chair of ASTRO’s Code Utilization and Application Subcommittee in addition to playing a vital role as a member of ASTRO’s Code Development and Valuation Subcommittee.
Nikhil Thaker, MD, is a radiation oncologist with The Arizona Oncology Associates of Tucson and currently serves as vice-chair of ASTRO’s Code Utilization and Application Subcommittee, as well as serving on the Code Development and Valuation Subcommittee.
By Sabin B. Motwani, MD
Communications Committee Chair
November has arrived, signaling Fall, and the one-year anniversary of the new and improved ROhub! ASTRO’s official online community continues to serve as a place for collaboration and networking. During the summer of 2018, ROhub was moved to a more user-friendly platform and relaunched in November 2018 welcoming the Open Forum, ASTRO’s all member community, ASTRO event communities and specialty communities such as Locum Tenens.
To celebrate its one-year anniversary, ASTRO is conducting an online scavenger hunt on ROhub during the month of November. At the beginning of each week, a new activity will be posted in the Open Forum for members to complete. Those who complete all posted activities will be entered into a drawing and five individuals will win $50 each in ASTRO cash, which can be used toward ASTRO products.
Let’s take a moment to look back at this invaluable resource. When ROhub launched last year, expectations were open and benchmarks were not set. Looking back over the course of a year, ROhub has received overwhelmingly positive feedback from members and other committees. The Communications Committee was particularly excited with what ROhub brought to the table as a resource that we were missing at ASTRO. Over the course of the year, ROhub has totaled 231,000 pageviews, 8,500 unique logins, 300 plus unique contributors and more than 900 discussion posts generated by ASTRO members.
The Open Forum has served as an inaugural place for members to discuss a wide range of topics and allows members to interact with staff on a more personal and private level compared to other platforms. This discussion forum has also given the Communications Committee and ASTRO staff invaluable feedback on areas to focus on or what ASTRO can do to better serve its members. From topics like prior authorization, RO-APM and rural practices, discussion has spurred on and encouraged a number of members to jump in and participate in these timely topics. The Communications Committee posted a discussion about the changes we were making to the patient education material and found the feedback extremely valuable. We will continue to do this to help our members shape the work we do.
What’s next for ROhub?
Additional features and large initiatives have been going on behind the scenes for some time now in ROhub. At this very moment the Communications Committee and I are testing a document versioning system similar to Google Docs that will be hosted on ROhub called WorkSpace. WorkSpace will greatly enhance the efficiency of ASTRO committee work and will eliminate the need for so many emails flooding our inboxes or several users at once making changes on a document. Workspace, for example, has features that will allow users to “lock” documents as they are making edits in draft mode. We are confident that this will bring a much-needed reprieve from Google Docs.
Working with the ASTRO Rural Task Force, we will soon launch a peer-to-peer matching system. This new platform will match interested radiation oncologists for the purpose of virtual physician to physician peer review of patient cases.
With the growing expansion, I can’t wait to see what emerging ideas, points of discussion and progress will be accomplished by the 2nd anniversary of ROhub! To those of you who may have wanted to jump in on a thread or have had a question you wanted to pose to the rest of the membership, I encourage you now to go online to rohub.astro.org and post those questions in the Open Forum.
I encourage you to feel comfortable to voice your opinions and ask your questions in this members only environment. Don’t forget to upload your headshot! It’s always appreciated to associate a post with a friendly face so others can introduce themselves to you at maybe…#ASTRO20. It’s never too late to start a conversation or create a new connection today on ROhub. Learn more about how to post in the ROhub.