Alliance for Equity in Cancer Care

  • Resources

The following resources have been curated to support individuals and institutions implementing billing for Principal Illness Navigation Services. These resources have not been vetted by CMS.

Pre-billing Readiness

  • CMS Payment for Principal Illness Navigation: How Do I Credential My Navigators? (JONS)
  • State-Based Requirements for CHWs (ASTHO)
  • Guide to Certification Preparation OPN-CG (AONN+)

Eligibility

  • Care Management Services and Patient Navigation Services: A Comparison (ASCO)
  • Health-Related Social Needs FAQ (CMS)
  • Breaking Down Principal Illness Navigation Services (ACCC)

Billing Implementation

  • CPT Assistant for CPT Coding Guidance (AMA)
  • Patient Navigation Barriers and Outcomes Tool (GW Cancer Center)
  • Implementing the New Reimbursement Codes Webinar Eligibility Series (ACCC)

Alliance for Equity in Cancer Care
an initiative funded by Merck Foundation

Disclaimer: The information shown on this website serves as a point-of-view from the Alliance. The information presented was developed as an organizational perspective and should not be used as legal documentation or as official documentation on adherence to CMS guidelines for PIN billing.

Contacts & Information
  • Phone: (804) 828-6806
  • Email: allianceaecc@vcu.edu
  • Website: https://www.equityincancercare.org/