Abstract：
The American Society for Radiation Oncology has proposed the Radiation Oncology Case Rate Program (ROCR) to advocate for fair reimbursement for radiation oncologists. ROCR would replace Medicare fee-for-service with a case rate payment for each of the 15 most common cancer types treated with external beam or stereotactic radiation therapy. This topic discussion attempts to provide a concise overview of the practical implications for radiation oncologists should the ROCR payment program be legislated by Congress and subsequently implemented by the Center for Medicare and Medicaid Services. This topic discussion covers the practical changes to billing and reimbursement, the Health Equity Achievement in Radiation Therapy payment, the Quality of Care requirement, and the available tool to calculate the effect of the ROCR based on an individual practice\'s case mix.
摘要：
美国放射肿瘤学会（ASTRO）提出了放射肿瘤病例率计划（ROCR），以倡导对放射肿瘤学家的公平报销。ROCR将用外部束或立体定向放射治疗治疗的15种最常见癌症类型中的每种类型的病例费率支付来代替Medicare的服务费。本主题讨论试图提供一个简明的概述，如果ROCR支付计划由国会立法，随后由医疗保险和医疗补助服务中心（CMS）实施，对放射肿瘤学家的实际影响。本主题讨论涵盖账单和报销的实际变化，放射治疗健康公平成就(HEART)支付，护理质量要求，以及根据个人实践的案例组合计算ROCR影响的可用工具。
