decisionhealth Newsletters, Part B News - 2007 Issue 10 (October)
CAP open enrollment underway through Nov. 15
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Article Overview
This article explains the timing and basic purpose of Medicare’s Competitive Acquisition Program for Part B drugs, including who may enroll, the role of the program vendor, and the availability of withdrawal during the open enrollment window. It is relevant to practices that furnish and bill for injectable drugs under Medicare and want a general update on program participation and enrollment logistics.
Why This Topic Matters
Practices that bill Medicare for Part B drugs need to know whether CAP participation affects how drugs are obtained, billed, and administered. The article provides a current enrollment update and identifies the program’s operational context for eligible physician offices and billing staff.
What You Will Learn
- The purpose and general structure of Medicare’s Competitive Acquisition Program
- The timing of the open enrollment period and the covered participation year
- The role of the program vendor and the practice’s billing responsibilities
- General participation and withdrawal considerations for current enrollees
Who Should Read This
- Physician practices
- Medical billing staff
- Practice administrators
- Coding and reimbursement professionals
- Medicare-participating providers
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