Drug Payments: 2005 Drug Rates Will Be A Surprise - Even To CMS
Nobody will know in advance the numbers on which Medicare will base drug payments in 2005, not even the Centers for Medicare & Medicaid Services.That's because CMS will base the 2005 drug payments on 106 percent of the "average sales price" for the third quarter of 2004. CMS won't have that data until early December, and it'll be a scramble to translate the data into HCPCS codes in time for Jan. 1, 2005.When the final physician fee schedule rule comes out in November, it will be based on second quarter 2004 data, which CMS just received. CMS...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4200 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
Access to this feature is available in the following products:
Quick, Current, Complete - www.findacode.com