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ASTRO urges MedPAC to recommend end to abuse of physician self-referral laws in radiation oncology The American Culture for Radiation Oncology commends the Medicare Payment Advisory Commission for highlighting concerns about physician self-referral in cancer care in its report released yesterday. We urge the commission to make suggestions to Congress to end abuses of the physician self-referral law in radiation oncology allowed by the in-office ancillary services exception.