In Regard to Bauer-Nilsen et al

To the Editor: The work of Bauer-Nilsen et al explores time-driven activity-based cost (TDABC) and reimbursement of cervical cancer radiation therapy (1). The authors propose that high TDABC but low reimbursement could contribute to the declining use of brachytherapy. Overall, the analysis was intriguing and generated discussion among the American Society for Radiation Oncology's Code Development and Valuation Sub-Committee, which analyzes reimbursement for radiation oncology services. Although TDABC may be useful in better understanding practice cost drivers, there are limitations in the analysis that prevent generalizability and direct comparisons to Centers for Medicare and Medicaid Services payment determinations.

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