Tips to make the most of ASP payments

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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 gives a high-level overview of payment and purchasing considerations for practices administering drugs to Medicare patients under average sales price-based reimbursement. It discusses vendor shopping, bulk purchasing, joining purchasing groups, and the appearance of a competitive acquisition program as an alternative payment approach. The piece is aimed at practices, billing teams, and administrators looking to understand the business impact of drug payment changes.

Why This Topic Matters

Drug reimbursement methodology can affect practice margins and purchasing decisions. This article helps readers understand the general business and operational issues associated with Medicare drug payments without delving into technical coding details.

What You Will Learn

  • How Medicare drug payment methodology can affect practice purchasing decisions.
  • Why comparing vendors may matter when acquiring drugs and supplies.
  • How larger purchasing arrangements and group buying may influence pricing.
  • What broader alternatives to the current payment approach are mentioned.

Who Should Read This

  • Physician practices
  • Medical office administrators
  • Billing and reimbursement staff
  • Practice managers
  • Infusion and oncology practices
  • Rheumatology practices

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