tci Medicare Compliance & Reimbursement - 2003 Issue 32


Medicare beneficiaries and the government could save up to $45.2 billion over ten years if the health care program for seniors and the disabled cut back on overpayments to physicians for outpatient prescription drugs. So says the Centers for Medicare & Medicaid Services. In the Aug. 20 Federal Register, the agency seeks comment on four alternative payment schemes, including options paralleling payment changes contained in the House and Senate Medicare bills. Medicare Part B only covers about 450 drugs, primarily drugs provided incident to a physician's services or through covered durable medical equipment. But in 2002 the government...

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