decisionhealth Newsletters, Part B News - 2016 Issue 5 (May)
Brief: Drug wastage coding requirements tightened
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Article Overview
This brief covers a CMS transmittal that changes how discarded portions of drugs and biologicals are reported on Part B claims, along with the supporting documentation contractors may request. It is relevant to providers and billing staff who submit Medicare claims for drugs and biologicals and need to understand the reporting updates, timing, and compliance implications described in the CMS guidance.
Why This Topic Matters
Billing for discarded drug amounts can affect claim accuracy and compliance under Medicare Part B. The article summarizes a CMS change that standardizes reporting expectations and highlights documentation that may be needed if a contractor requests support for wastage claims.
What You Will Learn
- What the CMS update changes about reporting discarded drug amounts
- What documentation may be requested to support wastage claims
- Which providers and claim types are affected at a high level
- How the article frames the timing of the reporting change
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance staff
- Provider administrators
Codes Discussed
Modifiers Discussed
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