More drugs increase than decrease on ASP drug list

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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 piece covers CMS’s fourth-quarter 2008 Average Sales Price (ASP) list for Part B drugs, focusing on drugs with notable payment changes compared with the prior quarter. It is useful for providers, billers, and coding professionals who monitor drug reimbursement updates, ASP trends, and CMS pricing changes that affect claim payment and billing workflows.

Why This Topic Matters

Quarterly ASP updates can affect reimbursement planning, charge capture, and claim reporting for physician-administered drugs. The article summarizes broad market movement and identifies the drugs with the largest price swings so readers can assess whether the update affects their own service lines.

Article Sections

  1. Quarterly ASP update overview

    Summarizes CMS’s fourth-quarter 2008 drug price update and the overall direction of payment changes compared with the prior quarter. It also notes the number of drugs that moved up, down, or remained unchanged.

  2. Top billed drugs with a payment increase

    Lists commonly billed drugs that received higher ASP payment amounts for the quarter. The section presents the updated pricing trend information in ranked form.

  3. Top billed drugs with a payment decrease

    Lists commonly billed drugs that received lower ASP payment amounts for the quarter. The section presents the updated pricing trend information in ranked form.

What You Will Learn

  • How CMS’s quarterly ASP update is organized
  • Which broad drug categories experienced notable payment movement
  • How the article frames the most significant quarterly ASP changes
  • What types of Part B drugs are highlighted in the update summary

Who Should Read This

  • Medical coders
  • Billing staff
  • Revenue cycle professionals
  • Practice administrators
  • Infusion and injectable drug billers
  • Healthcare compliance teams

Codes Discussed


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