CALIFORNIA RADIATION THERAPY MANAGEME filed a chapter 11 bankruptcy case on Up to date docket information and all documents are available online. The docket was last checked on at GMT. Statistical Information. May 26, · 21st Century Oncology was founded in by a group of physicians and was publicly traded as Radiation Therapy Services until it was acquired in . NORTH CAROLINA RADIATION THERAPY MANA filed a chapter 11 bankruptcy case on Up to date docket information and all documents are available online. The docket was last checked on at GMT. Statistical Information.
Related videosWhat to expect during your radiation oncology treatment
In some cases, the ability to provide higher doses has provided better outcomes for individuals than with conventional radiotherapy. Proton therapy carries a lower risk of undesirable side effects as it limits the damage to normal, healthy tissue.
This is true even if the dose is the same as in conventional therapy. This could be useful for treating prostate cancer and cancers that affect the prostate, the spine, the head, and the neck. Proton therapy is useful for treating childhood cancers , because it can target the cancer cells without damaging other cells in a growing body.
Children who receive traditional radiation treatment have a higher risk of stunted growth. Doctors can combine proton therapy with traditional radiation or chemotherapy.
They can also use it as a follow-up to surgery. A person who has traditional radiation therapy can sometimes develop secondary cancer, or their cancer can return. In , another team published results of a study that was carried out to determine whether proton therapy and traditional radiation therapy conformal radiation therapy might increase the risk of secondary cancer in normal organs among patients with neuroblastomas.
Neuroblastomas are cancers that develop from immature nerve cells located in different parts of the human body. They typically arise in and near the adrenal glands. They found that radiation doses observed in normal, healthy organs were lower among patients receiving proton therapy compared to those receiving traditional radiation therapy. They concluded that while traditional radiation therapy slightly increases the risk of secondary cancer in most organs, proton therapy appears to reduce the risk.
The medical team, usually a radiation oncologist and a radiation therapy nurse, will make and fit the person with a device that holds the body still while treatment is underway. The type of device depends on the location of the tumor. People with cancer that affects the head will have a special mask fitted. If the target area is the body, leg, or arm, they will use a cradle device.
The team will mark on the skin the location toward which they will aim the beam. Proton treatment usually occurs up to 10 days after the simulation.
The person must take care not to wash off the marks before treatment. The individual will lie in a donut-shaped device known as a gantry. This rotates around the person and directs the protons at the tumor. A synchrotron, or cyclotron, creates and accelerates the protons. The protons are then removed from the synchrotron and magnets direct them to the cancer cells.
During the treatment, the radiation therapist is in another room, but they will see and talk to the patient using a two-way intercom and closed-circuit television.
Treatment may last for 15—30 minutes , depending on the number of locations for treatment. There should be no discomfort. After this, the radiation therapist comes back into the room and removes the device that helped keep the person still during treatment. Proton therapy is an outpatient procedure.
The number of treatments will depend on the type of cancer and other factors, such as the dosage. Side effects will be mild compared with those resulting from conventional radiation. There may be redness around the treatment area and some temporary hair loss if treatment is to the head or scalp.
Proton beam therapy appears to be a safe and effective treatment for various types of cancer, but it is costly. For some, the extra costs may be worthwhile in terms of improved health and quality of life and less time lost due to future complications and the adverse effects of conventional radiation therapy. For others, however, the out-of-pocket expense remains prohibitive. Researchers reporting in also noted that there is a lack of clinical trials and long-term evidence to prove the safety and effectiveness of the technique, and the need to develop the technology more fully.
People who are interested in trying this type of treatment should speak to their doctor about it. Proton therapy is a type of radiation that can treat cancers, including breast cancer. This article discusses its uses, effectiveness, and procedure. A first-of-its-kind study compares the cure rates and side effects of proton therapy and X-ray radiation for people with various forms of cancer.
Immediate family member or member of a physician's immediate family means husband or wife; birth or adoptive parent, child, or sibling; stepparent, stepchild, stepbrother, or stepsister; father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law; grandparent or grandchild; and spouse of a grandparent or grandchild. Interoperable means able to communicate and exchange data accurately, effectively, securely, and consistently with different information technology systems, software applications, and networks, in various settings; and exchange data such that the clinical or operational purpose and meaning of the data are preserved and unaltered.
Laboratory means an entity furnishing biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of, human beings.
These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Entities only collecting or preparing specimens or both or only serving as a mailing service and not performing testing are not considered laboratories. Locum tenens physician or substitute physician is a physician who substitutes in exigent circumstances for another physician , in accordance with section b 6 D of the Act and Pub.
Member of the group or member of a group practice means, for purposes of this subpart, a direct or indirect physician owner of a group practice including a physician whose interest is held by his or her individual professional corporation or by another entity , a physician employee of the group practice including a physician employed by his or her individual professional corporation that has an equity interest in the group practice , a locum tenens physician as defined in this section , or an on-call physician while the physician is providing on-call services for members of the group practice.
Outpatient hospital services means the therapeutic, diagnostic, and partial hospitalization services listed under sections s 2 B and s 2 C of the Act ; outpatient services furnished by a psychiatric hospital , as defined in section f of the Act ; and outpatient critical access hospital services, as defined in section mm 3 of the Act. Parenteral and enteral nutrients, equipment, and supplies means the following services including all HCPCS level 2 codes for these services :. Patient care services means any task s performed by a physician in the group practice that address the medical needs of specific patients or patients in general, regardless of whether they involve direct patient encounters or generally benefit a particular practice.
Patient care services can include, for example, the services of physicians who do not directly treat patients, such as time spent by a physician consulting with other physicians or reviewing laboratory tests, or time spent training staff members, arranging for equipment, or performing administrative or management tasks.
The list of codes identifying physical therapy, occupational therapy, and outpatient speech-language pathology services for purposes of this regulation includes the following:. Physician means a doctor of medicine or osteopathy, a doctor of dental surgery or dental medicine, a doctor of podiatric medicine, a doctor of optometry, or a chiropractor, as defined in section r of the Act.
A physician and the professional corporation of which he or she is a sole owner are the same for purposes of this subpart. Physician in the group practice means a member of the group practice, as well as an independent contractor physician during the time the independent contractor is furnishing patient care services as defined in this section for the group practice under a contractual arrangement directly with the group practice to provide services to the group practice's patients in the group practice's facilities.
Physician incentive plan means any compensation arrangement between an entity or downstream contractor and a physician or physician group that may directly or indirectly have the effect of reducing or limiting services furnished with respect to individuals enrolled with the entity. Plan of care means the establishment by a physician of a course of diagnosis or treatment or both for a particular patient , including the ordering of services. Professional courtesy means the provision of free or discounted health care items or services to a physician or his or her immediate family members or office staff.
The list of codes identifying radiology and certain other imaging services includes the professional and technical components of any diagnostic test or procedure using x-rays, ultrasound, computerized axial tomography, magnetic resonance imaging, nuclear medicine effective January 1, , or other imaging services.
A designated health service is not personally performed or provided by the referring physician if it is performed or provided by any other person, including, but not limited to, the referring physician 's employees, independent contractors, or group practice members. A designated health service is not personally performed or provided by the referring physician if it is performed or provided by any other person including, but not limited to, the referring physician 's employees, independent contractors, or group practice members.
Referring physician means a physician who makes a referral as defined in this section or who directs another person or entity to make a referral or who controls referrals made by another person or entity. A referring physician and the professional corporation of which he or she is a sole owner are the same for purposes of this subpart.
Remuneration means any payment or other benefit made directly or indirectly, overtly or covertly, in cash or in kind, except that the following are not considered remuneration for purposes of this section:. Same building means a structure with, or combination of structures that share, a single street address as assigned by the U.