CMS releases ASP pay changes for second quarter; few changes seen

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes CMS’s second-quarter Average Sales Price (ASP) update for Medicare drugs. It discusses overall pricing trends, the small number of list additions and removals, and highlights which injectable drugs saw the largest payment increases and decreases. The piece is relevant to coding, billing, and reimbursement professionals who track Medicare drug pricing updates and quarterly ASP list changes.

Why This Topic Matters

Quarterly ASP updates can affect reimbursement monitoring, claims review, and drug pricing awareness for practices and facilities that bill Medicare for injectable drugs. Understanding which codes were added, removed, or changed helps revenue cycle teams stay current with CMS updates.

Article Sections

  1. Quarterly ASP update overview

    Summarizes the overall second-quarter ASP changes and broad pricing patterns across higher-volume drugs.

  2. Notable payment increases and decreases

    Highlights selected drugs with the largest upward and downward payment movements in the update.

  3. Newly added and removed drug codes

    Identifies codes added to or removed from the second-quarter ASP list and notes the administrative context of those changes.

  4. Key ASP changes for the second quarter (Q2) of 2011

    Presents the article’s summary table of second-quarter ASP changes for selected drug codes.

  5. Increases

    Lists selected codes with quarter-over-quarter payment increases.

  6. Decreases

    Lists selected codes with quarter-over-quarter payment decreases.

What You Will Learn

  • How CMS describes second-quarter ASP pricing movement
  • What general types of drugs were highlighted in the update
  • Which categories of changes were reported for selected injectable drug codes
  • How the article organizes second-quarter ASP additions, removals, increases, and decreases

Who Should Read This

  • Medical coders
  • Billing staff
  • Revenue cycle professionals
  • Pharmacy reimbursement staff
  • Healthcare administrators

Codes Discussed


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