Conquering Cancer…Close To Home 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 Billing Insurance Verification Nurse Education Front Desk Wellness / Nutrition Prior Auth Lab Chemotherapy / Radiation Clinical Trials Physician Appointment Course of Treatment On Site Pharmacy

New Patient Navigator: 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 Insight into deficiencies or over production of components in the blood Complete Blood Count (CBC) is drawn on every patient Results within minutes Infusion Therapy Common treatments for low iron or B12 Circulating Tumor Cells (CTC) Assess prognosis of patient’s with metastatic breast, colorectal, or prostate cancer Flow Cytometry Routinely used in the diagnosis of health disorders; i.e.. Blood Cancers

Physician Care Consultation Follow-Up Care Discuss at length the results, diagnosis and course of action Second Opinions 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 CyberKnife Computed Tomography (CT) Scans Positron Emission Tomography (PET) Scans Allows physician to make most informed and potentially effective decisions for treatment Clinical Trials 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 Provides plan for a healthy diet in the fight against cancer both before and after treatment Offers an array of nutritional supplements and vitamins readily available in office after consultation A healthy diet creates an overall better quality of life Helps improve side effects of cancer treatments such as: Loss of appetite Nausea Vomiting Diarrhea Constipation Mouth sores Taste changes Weight loss/weight gain

Benefit Counseling Identifying Financial Toxicity Patient Discussion Prior Auth Obtain current insurance verification on coverage, deductible, out-of-pocket, co- insurance Determine Assistance Diagnosis Medicare vs. Commercial Non-Profit Organizations Co-Pay Cards Drug Program (free drug) Education on coverage Cost of treatment Application Process Payment Plan Discuss viable options Open Enrollment Affordable Care Act (Exchange)

On-Site Pharmacy Dispense of medication within 24 hours 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

What Makes Us Different 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