decisionhealth Newsletters, Part B News - 2011 Issue 7 (July)
CMS releases 3Q ASP drug pricing, several codes removed
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Article Overview
This article reviews CMS’s third-quarter Average Sales Price (ASP) drug pricing update for Medicare Part B. It summarizes broad pricing trends, identifies which drug codes were added or removed, and highlights selected quarter-to-quarter price changes. The piece is aimed at readers who track Medicare drug pricing updates, code list maintenance, and quarterly reimbursement-related changes.
Why This Topic Matters
ASP list updates can affect how payers, providers, and coders monitor drug pricing changes and code status from one quarter to the next. This article helps readers understand which Medicare Part B drug codes changed, which were discontinued from the quarterly list, and the overall direction of pricing movement.
Article Sections
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Overview of Q3 ASP drug pricing changes
Summarizes the overall direction of Medicare Part B drug price movement for the quarter and notes the general pattern of additions and removals.
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Notable price increases and new additions
Highlights selected drugs with the largest reported price increases and identifies newly added codes on the quarterly ASP list.
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Codes removed from the ASP list
Lists the drug codes removed from the quarterly ASP pricing file and notes the article’s discussion of code status impact.
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Key ASP changes for the third quarter (Q3) of 2011
Presents the article’s summarized table of selected quarterly ASP price increases and decreases.
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Increases
Identifies selected drug codes that showed quarter-to-quarter price increases in the summary table.
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Decreases
Identifies selected drug codes that showed quarter-to-quarter price decreases in the summary table.
What You Will Learn
- How CMS described third-quarter ASP pricing trends for Medicare Part B drugs.
- Which drug codes were newly added or removed from the quarterly ASP list.
- What broad categories of pricing movement were highlighted in the update.
- Which selected drugs were reported among the quarter’s larger price changes.
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance teams
- Healthcare administrators
- Payer and claims analysts
Codes Discussed
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