NSHOA Cancer Center - Community Oncology Alliance

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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


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Insight into deficiencies or over
production of components in the
blood
Complete Blood Count (CBC) is
drawn on every patient

Results within minutes

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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

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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
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