Drug Payments: Medicare Adjusts Dozens of Drug Payments

Why This Topic Matters

Practices that bill Medicare for drug products need current payment information to update pricing charts and maintain accurate billing workflows. The article helps coding and reimbursement staff identify which drug codes were affected by the quarterly update.

Article Sections

1. Quarterly Medicare drug payment updates

   Overview of the payment update schedule, the carrier posting, and the general CMS pricing context for physician-furnished drugs.

2. Drugs receiving increases

   A list of drug payment codes and related payment updates that were increased in the quarter.

3. Drugs reduced

   A list of drug payment codes and related payment updates that were decreased in the quarter.

4. New drug codes added

   Newly added drug codes included in the Medicare update along with their updated reimbursement status.