tci Medicare Compliance & Reimbursement - 2004 Issue 30

Drug Payments: Doc Pay Rule Cuts Drugs Up To 89 Percent

Oncologists aren't fans of new proposed rule.The proposed physician payment rule for 2005 provides the first look at how Medicare's new method of paying for physician-administered drugs will affect reimbursements. The preliminary results of the attempt in last year's Medicare Modernization Act to use more realistic prices? Large cuts for many medications widely used to fight ailments such as cancer and lung disease. Medicare Part B has long paid for these physician administered drugs, which are separate from the self-administered drugs that Part D will pay for beginning in 2006. As dictated by the MMA, the...

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