decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Supplies / Implantable drugs get a boost from Medicare reform act
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Article Overview
This article covers a Medicare reform-related payment update for certain implantable drugs and newly approved drugs. It is relevant to coders, billers, and reimbursement staff working with drug claims, implantable pain pump-related supplies, and Medicare carrier requirements. The article also notes the broader policy context and identifies the affected HCPCS drug codes discussed in the update.
Why This Topic Matters
It helps readers understand which drug claims are implicated by the payment change and flags a potential carrier-specific modifier issue tied to implantable durable medical equipment billing.
What You Will Learn
- The general Medicare policy update affecting payment for implantable drugs
- How carrier requirements may affect billing for drugs furnished through implantable durable medical equipment
- How the article frames newly approved drugs within the payment update
- Which HCPCS drug codes are specifically discussed in the update
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance staff
- Durable medical equipment billing professionals
Codes Discussed
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