tci Medicare Compliance & Reimbursement - 2006 Issue 13

PRESCRIPTION DRUGS: Medicare Overpaid $110 Million For Part B Drugs

IOG report could trigger a future slash in drug payments.This may be hard to believe, but the HHS Office of Inspector General believes the Centers for Medicare & Medicaid Services is overpaying providers for many Part B drugs.Inconsistent accounting practices have led CMS to overestimate many drug costs, the OIG says in "Calculation of Volume-Weighted Average Sales Price For Medicare Part B Prescription Drugs," OEI-03-05-00310.Some 46 percent of drug codes had more reimbursement than they should have, which meant Medicare overpaid providers by $115 million in 2005. For another 13 percent of drug codes, Medicare...

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