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NSHOA CANCER CENTER 15 Medical Oncologists 2 Radiation Oncologists 6 Medical Oncology Locations 2 Radiation Oncology Locations Conquering Cancer…Close To Home Patient Walkthrough: A Step by Step Process Treatment Benefit Counseling New Patient Intake Insurance Verification Front Desk Nurse Education Wellness / Nutrition Prior Auth Chemotherapy / Radiation Lab Physician Appointment Course of Treatment Clinical Trials On Site Pharmacy Billing 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 Patient Arrival: Front Desk 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 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 Circulating Tumor Cells (CTC) Assess prognosis of patient’s with metastatic breast, colorectal, or prostate cancer Infusion Therapy Common treatments for low iron or B12 Flow Cytometry Routinely used in the diagnosis of health disorders; i.e.. Blood Cancers Physician Care Consultation Discuss at length the results, diagnosis and course of action Second Opinions Follow-Up Care 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 Clinical Trials Computed Tomography (CT) Scans Positron Emission Tomography (PET) Scans Allows physician to make most informed and potentially effective decisions for treatment 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 Nurse Education 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 A Vital Component: Nutrition On staff Oncology Registered Dietitian Helps improve side effects of cancer treatments such as: Provides plan for a healthy diet in the fight against cancer both before and after treatment Loss of appetite Nausea Offers an array of nutritional supplements and vitamins readily available in office after consultation Vomiting Diarrhea A healthy diet creates an overall better quality of life Constipation Mouth sores Taste changes Weight loss/weight gain Benefit Counseling Identifying Financial Toxicity Prior Auth Obtain current insurance verification on coverage, deductible, out-of-pocket, coinsurance Patient Discussion Education on coverage Cost of treatment Application Process Determine Assistance Diagnosis Medicare vs. Commercial Non-Profit Organizations Payment Plan Co-Pay Cards Discuss viable options Drug Program (free drug) Open Enrollment Affordable Care Act (Exchange) 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 Billing: The Breakdown 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 Open 7 days a week / physician on call 24 hours a day Keeps patient’s out of hospital Centralized Calls Direct contact for scheduling, messages, refills, etc Triage Fast & direct access to healthcare support and information Patient Support Group Outlet for survivors and active patients to openly discuss their journey Patient Appreciation / Fundraisers Becoming involved in the community and raise awareness for patient needs What Makes Us Different