Supplies / Medicare reform act and drug reimbursement

Article Overview

This short article summarizes Medicare drug reimbursement changes tied to the Medicare Prescription Drug Improvement and Modernization Act. It is relevant to physicians, billing staff, and revenue cycle professionals who need a high-level understanding of how Medicare payment methodology for drugs changed beginning in 2004 and 2005, including the role of Part B drugs and competitive bidding arrangements. The article provides a general overview of the payment framework and exceptions mentioned in the source.