decisionhealth Newsletters, Part B News - 2005 Issue 9 (September)
Drug payments: Codes you use to administer drugs will no longer include a 3% bump in payment next January
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Article Overview
This article covers Medicare-related drug payment updates that affect physician practices administering Part B drugs in the office. It is relevant to oncology and other specialties that rely heavily on drug administration services, and it also touches on a cancer care demonstration project, related reporting codes, and policy efforts aimed at extending the program. The piece is useful for billing and coding staff, practice administrators, and specialty groups tracking year-end coding and reimbursement changes.
Why This Topic Matters
The article highlights payment and reporting changes that may affect reimbursement, practice operations, and patient access in specialties that frequently administer drugs in-office. It also flags a demonstration program sunset and related code changes that practices may need to track at year-end.
Article Sections
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Medicare drug payment changes and practice impact
Overview of payment updates tied to office-administered drugs and how the changes affect practices across several specialties. Also discusses broader operational concerns related to drug reimbursement.
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Practice responses and policy developments
Covers practice-level responses to reimbursement pressure, including purchasing strategies and patient access concerns. Also summarizes a congressional resolution and related efforts concerning the cancer care demonstration project.
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Cancer care demonstration codes that end next year
Lists the demonstration reporting codes associated with the cancer care program that are scheduled to end in the following year.
What You Will Learn
- How Medicare drug payment changes are affecting office-based practices
- Which specialties are most likely to feel the impact of drug reimbursement changes
- What the article says about the cancer care demonstration program and its scheduled end
- What general types of reporting codes are associated with the demonstration
- What policy activity is mentioned in connection with extending the demonstration
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Oncology practice managers
- Specialty clinic administrators
- Compliance staff
Codes Discussed
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