decisionhealth Newsletters, Part B News - 2009 Issue 9 (September)
Benchmark of the Week: Top-billed ASP drug price changes, 2006-2009
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Article Overview
This article reviews payment changes for a group of commonly billed CMS Average Sales Price drugs across 2006 to 2009. It focuses on broad utilization patterns, relative payment movement over time, and how billing and denial patterns were presented in a Part B News analysis using CMS billing data and the Q4 2009 ASP price list. The piece is most relevant to professionals tracking Medicare Part B drug pricing trends and utilization.
Why This Topic Matters
Understanding shifts in frequently billed ASP drug payments helps coding, billing, and reimbursement professionals monitor trends that can affect high-volume Medicare Part B drug claims and payment analysis.
What You Will Learn
- What the article examines in CMS ASP drug payment trends
- How the piece frames utilization and denial patterns for high-volume drugs
- Which data sources were used for the analysis
- Why the article may be relevant to Medicare Part B drug billing and reimbursement review
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle professionals
- Practice managers
- Compliance staff
- Healthcare reimbursement analysts
Codes Discussed
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