ANCO FAX News. Vol. 14, No. 2 January 23 th, The ANCO FAX News has information for every member of your practice or organization. Pass it along!

Transcription

1 ANCO FAX News Association of Northern California Oncologists Post Office Box , San Rafael, California Voice: (415) FAX: (415) Vol. 14, No. 2 January 23 th, 2015 The ANCO FAX News focuses on ANCO s core activities advocacy, clinical and professional education, and Association and membership news. While membership mailings and e- mail/fax broadcasts continue, the ANCO FAX News summarizes this information in a regular forum of important news to members. Contact the ANCO office for additional information regarding any item published in the ANCO FAX News. Find the ANCO FAX News online at In this issue: Medicare claims payment hold released Not too late to submit 2014 PQRS data California to consider death with dignity legislation ASCO s CancerLinQ platform selected The ANCO FAX News is FAXed to Individual Member practices, and ed to Group, Institutional, and Corporate (contacts) Members. The next regular ANCO FAX News will be published on February 6 th. Send your comments or contributions to ANCO, P.O. Box , San Rafael, CA ; Voice: (415) ; FAX: (415) ; execdir@anco-online.org. The ANCO FAX News has information for every member of your practice or organization. Pass it along! Physician Members Nurses & Office Managers Office Staff Colleagues & Representatives The Association of Northern California Oncologists (ANCO) is an association of hematologists/oncologists dedicated to promoting high professional standards of cancer care by providing a forum for the exchange of ideas, data, and knowledge. The material contained in the ANCO FAX News is intended as general information for ANCO members. Because diagnostic, treatment, contracting, coding, and billing decisions should be made on a case-by-case basis, any such information contained in the ANCO FAX News may not apply in any given situation. Members are encouraged to contact their own consultants or advisors to obtain specific advice on matters relating to contracting, coding, and billing. The information contained in the ANCO FAX News should not be used as a substitute for such advice. Page 1 of 9

2 Page 2 of 9 ANCO FAX News ( January 23 rd, 2015 ADVOCACY [Editor s Note: ANCO is a member of the Association of Community Cancer Centers (ACCC) and a state/regional affiliate of the American Society of Clinical Oncology (ASCO). ANCO and the Medical Oncology Association of Southern California (MOASC) are members of the California Medical Association s (CMA) Council on Legislation, House of Delegates, and specialty delegation. ANCO meets regularly with these and other organizations to discuss issues of importance to hematology/oncology practices and people living with cancer. We continually seek input from members on agenda items for these meetings. Send your issues to the ANCO office.] ACCC, ASCO, ASH, COA, and National Legislative & Regulatory Issues Medicare claims processing contractors (MACs) have published the 2015 Medicare Physician Fee Schedule on their websites and released 2015 claims for payment. Download the slides from and listen to a recording of ASCO s Adapting to Changes in Medicare webinar at Model the impact of the 2015 Medicare Physician Fee Schedule on your practice using the Community Oncology Alliance tool at /12/15/estimate-the-impact-of-themedicare-2015-physician-fee-schedule-on-yourpractice.html. And, ACCC has published a list of all 2015 coding changes affecting cancer programs and practices at oncology_issues/articles/jf15/jf15- COMPLIANCE-Published-before-Print pdf. The legislation Congress passed in early 2014 creating another patch for the fundamentally flawed Sustainable Growth Rate (SGR) formula for reimbursing physicians under Medicare also delays the adoption of the ICD-10-CM coding system. CMS has confirmed that ICD-10-CM will be implemented on October 1 st. CMS is offering testing at no additional charge (visit Education/Medicare-Learning-Network- MLN/MLNMattersArticles/Downloads/SE1409. pdf?utm_source=e- Reimbursement+25th+Year+Bonanza &utm_campaign=ICD- 10&utm_medium= for more information). ASCO s ICD-10 resources are available at ASCO encourages practices to continue preparing for the transition to ICD-10-CM. If you have any questions regarding ICD-10-CM, then please contact ASCO via at billingandcoding@asco.org. Physicians that do not participate in the Physician Quality Reporting System (PQRS) in 2014 will face a 2% cut in Medicare payments in In addition, the practice may face a further 2% cut because of the value-based modifier (VBM). For more information, go to Outreach/NPC/National-Provider-Calls-and- Events-Items/ MQRP.html. ASCO has signed a contract with CECity to provide a substantial discount to eligible professionals (EPs) who use CECity s CMS-approved PQRSwizard registry to fulfill their 2014 reporting requirements. Access the registry at asco.pqrswizard.com to begin meeting your reporting requirement before the February 26 th deadline. Please contact qopi@asco.org if you have any questions. In addition, ASH offers the PQRS PRO Tool to allow physicians to participate in the 2014 program. Physicians can still report on 2014 data in the early months of For more information on how the PQRS and VBM programs apply to hematologists go to Quality/PQRS/. Finally, CMA has created a new resource entitled Medicare Incentive and Penalty Programs: What Physicians Need to Know available at CMA, MOASC, and State Legislative & Regulatory Issues The California Oncology Political Action Committee (or CalCancerPAC), formed by ANCO and MOASC, supports candidates sensitive to the needs of hematologists/oncologists and people living with cancer in California. ANCO membership dues include a contribution to CalCancerPAC. SB128, The End of Life Options Act, has been introduced in the State Senate. The bill would give patients with terminal illnesses the right to seek life-ending medication from their doctor and requires that the medication

3 Page 3 of 9 ANCO FAX News ( January 23 rd, 2015 be self-administered; that the patient be mentally competent; that two physicians confirm the prognosis that the patient has six months or less to live; that the patient s physician discusses alternatives and additional treatment options; that the patient submits a written request and two oral requests made at least 15 days apart; and, that two witnesses attest to the request. Pharmacists and physicians would be given legal immunity for participating and would be able to opt out. The Department of Insurance has issued an emergency regulation that establishes stronger requirements for health insurers to create and maintain sufficient medical provider networks to provide timely access to medical care. The regulation strengthens current rules and regulations and adds new medical provider network requirements. For more information, go to /january /#1. CMA is interested in hearing from practices that have experienced difficulties using the new Prescription Drug Authorization Form that became effective October 1 st. If your practice has run into any problems with the form itself, integration into your EHR, submission of the form to the payor, multiple requests for medical records from the payor, delays in processing by the payor, etc., please contact CMA at (916) or economicservices@cmanet.org to share your experience. For information on the new form and accompanying regulations, visit detail/?item=sb-866-guide. Sacramento can be a dangerous place for doctors. Many bills impacting medicine wind their way through the Capitol on their journey to the Governor s desk. And, many of these bills threaten the medical profession with the backing of powerful lobbyists and PACs. It s critical that physicians have an advocate at work for them every day and who knows how to speak on their behalf. That advocate is the California Medical Association (CMA). While physicians keep a close eye on their patients, CMA is keeping a close eye on those bills and more. Got payment delays? Feeling victimized by payers and overwhelmed by the process? Don t let the health plans mistreat you. The CMA s Center for Economic Services (CES) has a team of reimbursement specialists available to assist ANCO s CMA members experiencing payment problems with third-party payers. For membership, please call (916) ; for reimbursement assistance, please call CMA s Reimbursement Helpline at (888) CMA Practice Resources (CPR) is a monthly e- mail bulletin from CMA s Center for Economic Services that is full of tips and tools to help physicians and their office staff improve practice efficiency and viability. Subscribing to CPR is free and open to anyone, but CMA membership is necessary to access the resources, toolkits, forms, and tools that are located on the membersonly CMA website. Please visit cpr to subscribe. Noridian/JEMAC, DHCS/MediCal, & Private Payers Noridian Administrative Services is the Jurisdiction E (JE) Medicare Administrative Contractor (MAC). Jurisdiction E includes California. Regularly review postings at the Noridian/JEMAC website at med.noridianmedicare.com/web/jeb. Recent updates include: MLN Connects Provider enews: National Provider Calls Medicare Quality Reporting Programs: Data Submission Process Last Chance to Register; Open Payments Program Overview Video Tutorial Now Available Events Open Payments Question & Answer Session; ICD-10 Clinical Documentation Improvement Webinar Recording Available Announcements CMS Updates Open Payments Data; Open Payments System Unavailable in January; January Quarterly Provider Update Available; CMS is Accepting Suggestions for Potential PQRS Measures Claims, Pricers, and Codes Hospice Claims Returned in Error for Edit U5181 Products Certifying Patients for the Medicare Home Health Benefit; The

4 Page 4 of 9 ANCO FAX News ( January 23 rd, Physician Quality Reporting System (PQRS) Booklet Released; FAQs ICD-10 End-to-End Testing; The Basics of Internet-based PECOS for Physicians and Non-Physician Practitioners Fact Sheet Reminder; Avoiding Medicare Fraud and Abuse: A Roadmap for Physicians Web-based Training Course Revised Prompt Payment Interest Rate January 2015 Update Incident To, Non Physician Practitioner, Locum Tenens and Reciprocal Billing 2015 Revised Medicare Physician Fee Schedule Now Available Obinutuzumab (Gazyva) Wastage Billing Instructions Coverage Article Retired Effective January 1, 2015 FDG PET for Solid Tumors Second Revision Open Public Meeting Announcement February 4, 2015 Noridian/JEMAC s Electronic Data Interchange Support Services (EDISS) invites you to subscribe to its distribution list to receive current information at index.html. Forthcoming Noridian/JEMAC workshops include: Incident To, Non Physician Practitioner, Locum Tenens, & Reciprocal Billing (January 28 th ) Medicare Secondary Payer (February 11 th ) Incentive Programs (February 12 th ) New Provider New Biller (February 19 th ) Modifier 59 Clarification and Changes (February 24 th ) Visit med.noridianmedicare.com/web/ jeb/education/training-events for more information and to register. Noridian/JEMAC is requiring physicians to revalidate their Medicare enrollment and will continue reaching out to physicians notifying them of the need to revalidate through March 23 rd. Physicians who receive a request for revalidation must respond within 60 days or face the possibility of being deactivated. Do not do anything until you get a letter instructing you to revalidate. To find out whether you have been mailed a revalidation notice, go to the revalidation page on the CMS website at Enrollment-and-Certification/ MedicareProviderSupEnroll/Revalidations.html. If you are listed and have not received the request, then contact Noridian/JEMAC at (855) Medicare Recovery Audit Contractors (RACs) identify fraud and waste in the Medicare system. Audit contractors are expected to focus on companies and individuals whose billings for specific Medicare services are higher than the majority of providers in their communities. RAC auditors are limited as to the number of patient records they can request (see recovery-audit-program/). CMA has developed a tool kit to help physicians understand the program and, if necessary, navigate the audit process. The tool kit is available free to CMA members. HealthDataInsights (HDI), the Medicare RAC for Region D (that includes California), has posted the CMS-approved audit issues for RAC review at racinfo.healthdatainsights.com. Subscribe today to receive the DHCS/Medi-Cal Subscription Service (MCSS) via . The MCSS is a free service that can help keep you upto-date on the latest DHCS/MediCal news. Go to the MCSS Subscriber Form (files.medical.ca.gov/pubsdoco/mcss/mcss.asp), enter an e- mail address and a ZIP code, and customize your subscription by selecting the specific subject areas you are interested in. For more information about MCSS, visit the MCSS Help page at files.medi-cal.ca.gov/pubsdoco/mcss/ mcss_help.asp. A list of DHCS/MediCal webinars is at files.medi-cal.ca.gov/pubsdoco/newsroom/ newsroom_23149.asp?utm_source= icontact&utm_medium= & utm_campaign=medi-cal%20newsflash& utm_content= The ICD indicator must be entered on all

5 Page 5 of 9 ANCO FAX News ( January 23 rd, 2015 claims submitted with a diagnosis code for DHCS/MediCal services. Until the implementation of ICD-10 on October 1 st, the ICD indicator 9 must be included when submitting an ICD-9 diagnosis code. Claims that do not include the ICD indicator will be returned via the Resubmission Turnaround Document (Form 65-1). Anthem (formerly Wellpoint) is offering California oncologists a monetary incentive for each patient who receives treatment for breast, colorectal, and lung cancers, and some hematological malignancies as specified by one of the insurer s recommended regimens. Learn more about the Anthem program at ANCO members are encouraged to review Anthem s Cancer Care Quality Program Treatment Pathways and send their comments to ANCO at execdir@anco-online.org. ANCO s comments and Anthem s response are available online at EDUCATION [Editor s Note: ANCO organizes clinical and professional education meetings throughout the year and throughout Northern California.] ANCO s Medicare Reimbursement for Oncology 2015 ANCO hosted its annual Medicare Reimbursement for Oncology program via webcast on Tuesday, January 6 th. Roberta Buell, M.B.A., onpoint Oncology, provided a comprehensive update of coding, billing, and reimbursement changes for Medicare; ASCO s Director of Congressional Affairs provided a Federal legislative/regulatory update. Download their presentations and listen to a recording of the webcast at OncReimb2015.html. ANCO s SABCS Highlights 2014 ANCO s annual SABCS Highlights took place on January 15 th. Faculty from Stanford University and UC Davis presented and reviewed the clinically most relevant results presented at December 2014 s San Antonio Breast Cancer Symposium. Download the presentations at ASCO Annual Meeting Registration and housing for the 2015 ASCO Annual Meeting, May 29 th -June 2 nd, at McCormick Place in Chicago is now open. Reserve your room and register at am.asco.org/. ASCO s Best of ASCO ASCO s Best of ASCO takes place in San Francisco on August 7-8 th. Visit boa.asco.org for more information. An ANCO event at ASCO s Best of ASCO is being organized on August 6 th in lieu of ANCO s ASCO Highlights. Additional Education Meetings Other meetings of possible interest to ANCO member practices are: January 24 th Northern California Blood Cancer Conference Leukemia & Lymphoma Society San Francisco ( patienteducation/bloodcancerconference/) January 28 th The Latest Developments Reported at the 37 th Annual San Antonio Breast Cancer Symposium February 4 th Managing the Costs of Living with Cancer February 9 th Managing Eye and Vision Changes Related to Cancer Treatments February th 35 th Annual Conference: Clinical Hematology & Oncology Scripps San Diego February 27 th Treatment Update for Adults Living with Acute

6 Page 6 of 9 ANCO FAX News ( January 23 rd, 2015 Lymphocytic/Lymphoblastic Leukemia (ALL) March 3 rd Update on Triple Negative Breast Cancer March 6 th Medical Update on Acute Myelogenous Leukemia (AML) March 7 th The Challenges of Breast Cancer: 14 th Annual Allison Taylor Holbrooks and Barbara Jo Johnson Breast Cancer Conference Cancer Prevention Institute of California San Francisco ( March 10 th Advances in the Treatment of Lung Cancer March 13 th Understanding Clinical Trials: What s New March 18 th Living with Chronic Myelogenous Leukemia (CML) Please contact the ANCO office for more information about these meetings. information; links to affiliated organizations; updated physician, nurse, manager, and patient resources; and, updated Corporate Member drug reimbursement and patient assistance program information. Board of Directors The ANCO Board of Directors met on January 15 th to discuss and/or act upon the following issues: Annual election results: Dr. Srinivas (Stanford, 2015) resigned from the Board; her seat will be filled by Daniel P. Mirda, M.D. (Napa, 2015) Election of Officers: Wei Wang, M.D., Secretary Robert Robles, M.D., Treasurer FY2014 Results FY2015 Budget Long term financial planning Contact the ANCO office for additional information on any of these items. The ANCO Board of Directors meets by teleconference and occasionally in person to discuss issues affecting the Association, clinical and professional education, and ways to better serve the membership. Board teleconferences/meetings are open to individual physician members. The next regularly scheduled ANCO Board of Directors teleconference will take place on February 17 th. Please call José Luis González, ANCO Executive Director, at (415) if you wish to participate in a future teleconference/meeting. ASSOCIATION & MEMBERSHIP NEWS, RESOURCES,& BENEFITS ANCO Online ANCO s website, features a general description and introduction to the Association its activities, leadership, and membership benefits; advocacy information (including ANCO and ASCO resources); clinical and professional education meeting announcements and distributed materials; survey reports and publications; clinical trials Individual Member News A current Directory of Members is available online at as a.pdf document. We urge all ANCO members to download their own edition of The ANCO Directory of Members. Please verify your Directory entry and contact the ANCO office at execdir@anco-online.org with any corrections, additions, and/or deletions.

7 Page 7 of 9 ANCO FAX News ( January 23 rd, 2015 Group Member News ANCO initiated a Group Membership in 2008 based on a mutual set of perceived values and benefits and a mutual set of interests. The ANCO Board believes that the Association and The Permanente Medical Group (TPMG) will each receive value from Group Membership. ANCO initiated a Multi Site Group Membership in 2010 to encourage all physicians (medical and radiation oncologists) from multisite and multidisciplinary practices to join. ANCO thanks Annadel Medical Group/St Joseph s Heritage Healthcare, Diablo Valley Oncology & Hematology Medical Group, EPIC Care, Pacific Cancer Care, Palo Alto Medical Foundation, and Valley Medical Oncology Consultants for their multi site group memberships. Institutional Member News ANCO initiated an Institutional Membership in Department(s) of Hematology and/or Oncology of accredited, degree granting teaching universities or research institutions are eligible for institutional membership. ANCO thanks the following Institutional Members for their support: Stanford Cancer Center University of California, Davis, Cancer Center University of California, San Francisco Stanford s Hematology Review of the 56 th Annual ASH Meeting takes place on February 7 th at Stanford. For more information, please visit cme.stanford.edu/hematology/. UC San Francisco s Radiation Oncology Update: Best Practices Optimizing Advanced Radiation Therapy in the Context of Comprehensive Cancer Care takes place February th at the St. Regis in San Francisco. For more information, please visit info.html. UC San Francisco s Orthopaedic Oncology Review takes place on March 29 th in Las Vegas. For more information, please visit /MMC15020/info.html. Corporate Member News ANCO thanks the following Corporate Members for their generous support that enables ANCO to provide services to the hematology/oncology community in Northern California, and to provide its members and their patients with substantial benefits in the areas of advocacy, education, and information dissemination: Agendia Alexion Pharmaceuticals AMGEN AMAG Pharmaceuticals Astellas Oncology Axess Oncology Bayer Healthcare/Onyx Pharmaceuticals Boehringer Ingelheim Pharmaceuticals Bristol-Myers Squibb Oncology Cardinal Health Specialty Solutions Celgene Daiichi Sankyo Dendreon Eisai Foundation Medicine Genoptix Medical Laboratory Genentech BioOncology Genomic Health Genzyme Gilead Sciences Helsinn Oncology Incyte Innovatix Janssen Biotech Lilly Oncology McKesson Specialty Health MedImmune, Specialty Care Division of AstraZeneca Medivation Merck NanoString Novartis Oncology Oncology Supply/ION Onyx Pharmaceuticals Pfizer Oncology Pharmacyclics Sanofi Oncology Sargas Pharmaceutical Adherence & Compliance (SPAC) International Seattle Genetics Spectrum Pharmaceuticals Takeda Oncology TEVA Oncology Please visit for Corporate Member drug reimbursement and patient assistance program information. ANCO encourages all member practices to use this resource and enroll all patients at the start of treatment in all available and appropriate patient assistance programs. AMGEN informs ANCO that there is a new administration option for Neulasta. The Neulasta Delivery Kit (NDC ) requires administration by a healthcare provider and is available at the same WAC as the currently available Neulasta prefilled syringe (NDC ). Sargas Pharmaceutical Adherence & Compliance (SPAC) International has a special promotional offer for ANCO members who enroll in their

8 Page 8 of 9 ANCO FAX News ( January 23 rd, 2015 chronic care management services program before March 31 st. The annual subscription fee of $600 per physician is waived and a reduced $8.95 per patient per month rate for the first 1,000 patients enrolled per practice will be offered. Additional tiered discounts for more than 1,000 patients will be available. SPAC s chronic care management services include: regularly updated comprehensive patient-centered plan of care (to be provided by the physician); continuity of care through access to an established care team for successive routine appointments; scheduled preventive service and mediation monitoring by a trained staff with a patent pending mobile health application for each patient customized to your practice; monthly reports as required by Medicare for billing; access to a proprietary beneficiary consent form that can be uploaded to an EHR as required by Medicare; patient access to their care team 24 hours per day and patient care team access to each patient s care plan via SPAC s portals 24 hours per day. Sign up at Clinical Trial News A new report from the Institute of Medicine provides recommended guidelines about what data should be shared at key times in a clinical trial. In its report, Sharing Clinical Trial Data: Maximizing Benefits, Minimizing Risks, an IOM committee concludes that sharing data is in the public interest, but a multi-stakeholder effort is needed to develop a culture, infrastructure, and policies that will foster responsible sharing. Read the report at sharing-clinical-trial-data-maximizing-benefitsminimizing-risk. UC Davis brings the following clinical trial to the attention of the ANCO membership: Phase I Study of the Combination of MLN8237 and Gemcitabine in Advanced Solid Tumors with Emphasis on Pancreatic Cancer (UCDCC#240). Contact: Corinne Turrell, (916) Publications, Resources, Services, & Surveys ASCO is interested in better understanding how oncology care providers use online tools such as social media for communication. Please participate in their brief survey at ASCO would like to hear if your practice is facing any Medicare coverage challenges. Please visit ASCO s Medicare Coverage Issues webpage at et_cid= &et_rid= &linkid= ASCO s+medicare+coverage+issues to complete a form describing the coverage issue you are experiencing. The information will be sent to an ASCO staff member. For coding and billing assistance, send your to billingandcoding@asco.org. ASCO and its wholly owned subsidiary CancerLinQ LLC will use the SAP HANA platform in the development of ASCO s CancerLinQ, a groundbreaking health information technology (HIT) platform that will harness Big Data to deliver high-quality care to patient with cancer. It is one of the only major cancer data initiatives being developed and led by physicians with the primary purpose of improving patient care. When complete, CancerLinQ is expected to unlock real-world patient care data from millions of electronic health records and more securely process and analyze the data to provide immediate highquality feedback and clinical decision support to providers. The first version of CancerLinQ is scheduled for release in late Marin Cancer Care, an ANCO member practice, is among eight oncology practices around the United States that have signed agreements with CancerLinQ to provide patient records for the first version of CancerLinQ. ASCO and the American Association of Cancer Research (AACR) released a joint statement outlining a guide for policymakers to minimize the negative consequences of ecigarettes without undermining their use as a smoking cessation tool. Read the statement at CMS has approved ASCO s Quality Oncology Practice Initiative (QOPI) as a pathway for oncologists to meet the agency s quality reporting requirements. Oncology practices registered with QOPI will have the opportunity

9 Page 9 of 9 ANCO FAX News ( January 23 rd, 2015 to fulfill CMS s PQRS or QCDR reporting requirements through QOPI. Go to -participation-easier for more information. QOPI is designed to promote excellence in cancer care by helping oncologists create a culture of self-examination and improvement. ASCO offers the QOPI Certification Program to recognize QOPI participants who achieve rigorous standards for cancer care. The QOPI Certification designation can be used by certified practices to demonstrate an advanced commitment to quality. For more information or to register, go to qopi.asco.org. The January issue of the Journal of Oncology Practice is available online and features articles entitled Models of Cancer Survivorship Care: Overview and Summary of Current Evidence; A Decade of Research on the Quality of Systemic Cancer Therapy in Routine Care: What Aspects of Quality Are We Measuring?; Are Physicians Choosing Wisely When Imaging for Distant Metastases in Women With Operable Breast Cancer?. Visit jop.ascopubs.org for more information. And, listen to JOP s 2015 Could Be a Watershed Year for Oncology Payment Reform: Are You Ready? webinar at jop.ascopubs.org/?et_cid= &et_rid= & linked=jop.ascopubs.org. ACCC s 2015 Innovator Awards is now accepting applications. Has your cancer program created solutions that improve the access to, the quality of, and/or the cost-effectiveness of the care you are delivering? ACCC s Innovator Awards honor a select group of cancer program members that demonstrate significant achievements in enhancing oncology care. Visit for more information and to apply before the March 23 rd deadline. The January/December issue of ACCC s Oncology Issues includes articles entitled Molecular Testing in the Community Oncology Setting; A History of Cancer Survivorship Plans; and, An EMR-Driven Approach to Survivorship Care Plans. Visit oncology_issues to read this issue. ACCC has launched a new online Oncology Drug Database providing quick access to information on oncology drug coding, billing, and reimbursement at drugdatabase/. ACCC s 2015 Patient Assistance and Reimbursement Guide is an essential tool for cancer program staff to use in helping patients with issues related to the cost of treatment and in meeting reimbursement challenges. The 2015 Guide features a list of pharmaceutical and nonpharmaceutical patient assistance programs (PAPs), including directions on how to apply and links to enrollment forms. In the 2015 Guide, you will also find a patient assistance flow chart, a PAP Quick Reference Guide, sample forms and tools, and more. Visit publications/patientassistanceguide.asp to access this resource. ASH also has a webpage (at Drugs/Programs/) that provides a consolidated list of resources for hematologists and patients trying to access high cost hematologic drugs. And, at NCCN s Reimbursement Resource Room ( resource_room/default.asp) you can select a cancer diagnosis or supportive care indication and learn about reimbursement help and services available to you. The Community Oncology Alliance s (COA) Administrators Network (CAN) website is available at can.communityoncology.org/#. Bobbi Buell is the CAN Web Mistress. The site includes a variety of presentations, tools, resources, and copies of her newsletter. Individual Membership Dues for 2015 Membership renewal notices for 2015 were mailed to all members in early December. If you have not yet done so, then please return your 2015 membership dues to ANCO now to ensure your inclusion in The ANCO Directory of Members. Be sure to provide ANCO with your e- mail address and the name(s) and address(es) of office and/or nurse manager contact(s). Those not renewing their membership by June 30 th will be deleted from the Directory of Members, and will no longer be eligible for any ANCO benefits. Contact the ANCO office if you do not receive or misplaced your membership dues renewal notice.