decisionhealth Newsletters, Part B News - 2007 Issue 7 (July)
ASP calculation tops list of proposed 2008 drug changes
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Article Overview
This article explains proposed Medicare policy changes for physician-administered drugs in the 2008 Medicare Physician Fee Schedule. It focuses on how CMS would standardize reporting for bundled drug discounts under the ASP methodology and on proposed updates to the Competitive Acquisition Program, including operational, payment, audit, appeal, and opt-out process changes. It is relevant to physicians, practice administrators, billing staff, and coding professionals who work with Medicare drug reimbursement and CAP participation.
Why This Topic Matters
The article highlights proposed payment and administrative changes that could affect how practices are reimbursed for drugs, how vendors and physicians coordinate claims, and what documentation or program obligations may apply under Medicare.
Article Sections
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ASP bundled discounts
Discusses proposed CMS changes to the way bundled drug discounts would be reported under Medicare’s ASP methodology and the timing of implementation.
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CAP changes
Summarizes proposed updates to the Competitive Acquisition Program, including payment processing, verification, post-payment review, appeals, and opt-out procedures.
What You Will Learn
- How the article frames proposed Medicare drug-payment changes for 2008
- What CMS is proposing for bundled discounts under ASP-based reimbursement
- What general operational changes are proposed for the Competitive Acquisition Program
- Which kinds of provider, vendor, and administrative issues the article addresses
Who Should Read This
- Physicians
- Medical practice administrators
- Billing staff
- Medical coders
- Revenue cycle professionals
- Medicare reimbursement specialists
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