NCONA Annual Virtual Conference
Patient Navigation Rebooted: Reimbursement, Credentialing, and Implementation

Description

CMS has recently finalized codes that will reimburse for Principal Illness Navigation Services. (PIN)

These codes describe services focused on removing barriers to care, including care coordination, health education, patient self-advocacy skills, and health system navigation, and facilitating access to community-based social services to address unmet social determinants of health, such as food and housing insecurity and transportation needs.

CMS will pay for certified or trained auxiliary personnel under the direction of the billing practitioner. This may be a patient navigator or certified peer specialist as part of the treatment plan for a serious, high-risk disease which is expected to last at least three months. Regarding certification, the American Cancer Society has recently launched a new patient navigator training program that addresses the potentially required credentialling for reimbursement. As a result, Cancer Centers across the country will be moving forward with determining how they will socialize their current programs to ensure they are in alignment for reimbursement.

Join us as we come together to look at opportunities to ensure all cancer patients have access to navigation services.

Jointly Provided by

By registering for this conference, you are granting permission for your contact information to be shared with NCONA, which is a joint provider of this continuing education activity.

Target Audience

Nurse practitioners, nurses, oncology nurse navigators, administrators, care coordinators, fellows, medical students, nursing students, patient navigators, community health workers, case managers, social workers, psychologists, patient advocates, community ambassadors, lay health advisors, community educators, peer support specialists, and lay volunteer patient navigators.

Objectives

• Describe the current state and future directions of patient navigation programs at a local, state and national level
• Review how the Centers for Medicare & Medicaid Services (CMS) Principal Inness Navigation reimbursement will impact patients navigating cancer and other high-risk serious illnesses
• Examine the new training requirements of the Centers for Medicare & Medicaid Services (CMS) for "Principal Illness Navigation" reimbursement
• Explore opportunities for implementation within Cancer Centers and Institutions to improve cancer outcomes

Faculty

• Beth Calhoun, MEd, PhD
• Denise Cortez, MSN, BSN, RN
• Monica Dean
• Ashley Lovingood, MSHQS BSN OCN AMB-BC
• Bonny Morris, PhD, MSN, RN
• Steven R. Patierno, PhD
• Gabrielle Rocque, MD, MSPH
• Carl Rush, MRP
• Patricia Valverde, PhD, MPH, BA