decisionhealth Newsletters, Part B News - 2013 Issue 4 (April)
Some big drugs see big changes, but most stable in Q2 drug prices
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Article Overview
This article summarizes CMS’s second-quarter 2013 average sales price (ASP) update for Medicare Part B drugs. It is relevant to coders, billing staff, and reimbursement professionals who track quarterly payment-limit changes, list additions and deletions, and the broader pattern of drug-price movement across high-volume and oncology-related products.
Why This Topic Matters
Quarterly ASP updates can affect payment limits and reimbursement expectations for frequently billed drugs. Readers who work with Medicare drug claims or drug pricing trends can use this article to understand the scope of changes in the Q2 2013 CMS list and identify which categories of drugs saw meaningful movement.
Article Sections
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Drug pricing
Overview of CMS’s quarterly ASP list update and the general pattern of price movement across the drug list.
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Q2 adjustments blunt Q1 changes
Discussion of how second-quarter adjustments offset earlier first-quarter price movements and how the overall distribution of increases and decreases looked across the list.
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Only two drugs cut
Summary of stability among selected higher-profile drugs and the limited number of list deletions and additions in the quarter.
What You Will Learn
- How CMS’s quarterly ASP list update is framed in the article
- Which broad drug categories saw notable pricing movement
- How the article characterizes overall stability versus volatility in the Q2 2013 list
- What the article says about list turnover and overall changes in the ASP file
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Practice managers
- Oncology billing specialists
- Medicare claims professionals
Codes Discussed
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