decisionhealth Newsletters, Answer Books - 2009 Issue 10 (October)
Appendix A - Glossary / Supplies / You can bill Medicare for drug supply wastage
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Article Overview
This article covers a Medicare billing topic related to drug wastage when administering perishable medications in-office. It is aimed at practices, physicians, and facilities that need a general understanding of when wastage-related billing may come into play, along with the documentation and supply distinctions discussed by CMS.
Why This Topic Matters
Drug wastage can affect how claims are reported and whether the full supplied amount or only the administered amount is billed. Understanding the article helps billing and coding staff recognize the broad Medicare guidance and documentation considerations associated with perishable and single-use drug supplies.
What You Will Learn
- The general Medicare context for billing drug wastage
- How supply characteristics affect billing treatment in broad terms
- Why documentation matters when part of a drug dose is discarded
- The difference between single-use and multiple-use drug supplies in this topic area
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physicians
- Facility revenue cycle staff
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