Most drugs will see increases in price paid by Medicare

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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 covers CMS Medicare Part B average sales price (ASP) updates for the third quarter of 2008 and explains how drug payment amounts changed across a large list of billed drugs. It is useful for billing and coding professionals who track Part B drug reimbursement trends, ASP pricing updates, and Medicare payment impacts by HCPCS drug code. The article includes an overview of general market factors affecting pricing, plus tables of selected drugs with larger payment increases and decreases.

Why This Topic Matters

ASP updates can affect reimbursement for frequently billed Part B drugs, so understanding the direction and scale of quarterly payment changes helps practices monitor financial impact and stay current with Medicare pricing updates.

What You Will Learn

  • How Medicare Part B drug pricing changed under CMS’s ASP system for a specific quarter
  • What broad pricing trends were reported for billed drugs
  • Which categories of drugs experienced larger payment increases or decreases
  • How quarterly ASP updates may affect reimbursement monitoring

Who Should Read This

  • Medical coders
  • Billing specialists
  • Revenue cycle staff
  • Practice managers
  • Pharmacy billing professionals

Codes Discussed


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