How to get paid when patients don't want the LCA drug

Why This Topic Matters

It helps readers understand when drug reimbursement may be limited under Medicare policy, what administrative steps may be relevant, and how to review current pricing information for commonly used urology drugs.

Article Sections

1. Least costly alternative drug policy and billing considerations

   Overview of Medicare least costly alternative policies for drugs and the related payment and documentation considerations discussed in the article.

2. States where Medicare will pay for higher priced drug if medically necessary

   A list of jurisdictions referenced in connection with the policy discussion.

3. ASP drug prices for the end of 2006

   A quarterly pricing update for selected drugs included in the Medicare Part B drug pricing file.

4. Urology Drug Fees 3rd and 4th quarter 2006

   A table of urology drug pricing information showing Medicare fee amounts and changes across two quarters.