tci Medicare Compliance & Reimbursement - 2007 Issue 35

DRUGS: Use This Cheat Sheet To Beat Overlap Between Part B And Part D

Remember: As program evolves, so do claim categoriesKeep claims clean--and reduce your exposure to possible fraud accusations--by ensuring that you're crystal clear on just what's covered under Medicare Part B and Part D.Background: The Part D benefit covers some classes of drugs that are, in some circumstances, also covered under Medicare Part B. Use this guide to keep claims on track and avoid any appearance of inappropriate billing.• Durable medical equipment supply drugs: Part B for retail and home health care, Part D for long-term care• Immunosuppressants: Part B for Medicare-covered transplants; Part D for...

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