This letter is only meant as a notification.
No action is required on your part.

________________
Dear Sir or Madam,
Thank you for your inquiry regarding the claim for a Monthly Enhanced Oncology
Services (MEOS) payment (G9678) with a billed amount of $160 1 on your Medicare
Summary Notice. ________________________ is participating in a Medicare initiative
called the Oncology Care Model (OCM). You should have received a notification letter
from ________________________ about its participation in this initiative. If you did not
receive this letter, please contact ________________________.
As part of ________________________’s participation in the initiative, Medicare pays
the practice a MEOS payment for providing certain patient-focused cancer care support
services—called Enhanced Services—to Medicare patients who are receiving
chemotherapy or hormonal therapy. These patient-focused services are aimed at meeting
your individual needs and include: 24 hours a day, 7 days a week access to a health care
provider who has real-time access to your medical records; the ability to work with your
health care provider to create a care plan that meets your needs; and access to other
patient-focused services.
The patient-focused services may be provided by multiple health care providers at your
oncology practice and on days throughout the course of a month other than the date on
which you receive chemotherapy, hormonal therapy, or other services during an office
visit. For this reason, the Centers for Medicare & Medicaid Services (CMS) allows your
oncology practice to submit claims for the MEOS payments that reflect a date of service
other than the date you received chemotherapy or other treatment, including a date when
you did not have an office visit at all. Additionally, since the payment is intended to
support your entire oncology practice, the health care provider listed on the claim may be
any participating health care provider at your oncology practice – not necessarily the
health care provider you see.
Claims for MEOS payments (G9678) may appear on your Medicare Summary Notice
(Medicare billing statement). However, no Medicare beneficiary cost-sharing is
associated with G9678 claims. That means you will not be responsible for paying for any
portion of these patient-focused services; Medicare will cover the full amount. It is
important to note that you still have all the same Medicare rights and protections,
including the right to choose which health care provider you see. Medicare will continue
to cover all of your medically necessary services.

1

G9678 claim payments may be slightly less than $160 due to standard Medicare claims adjustments

 This letter is only meant as a notification.
No action is required on your part.
If you have questions or would like more information about the Oncology Care Model,
call ________________________ at ______________________, or call 1-800MEDICARE. TTY users can call 1-877-486-2048. You can also find information about
OCM at http://innovation.cms.gov/initiatives/Oncology-Care/.
Sincerely,
Medicare Oncology Care Model Team
Center for Medicare and Medicaid Innovation
Centers for Medicare and Medicaid Services
http://innovation.cms.gov/initiatives/Oncology-Care/