tci Part B Insider - 2003 Issue 7

PRESCRIPTION DRUGS: Family Practitioners, Oncologists Hit by Drug Cuts

The Centers for Medicare & Medicaid Services unveiled a "dirty baker's dozen" of cuts to prescription drugs that the carriers reimburse, which took effect April 1. The cuts hit family practitioners, oncologists and anyone who deals with infectious diseases, says consultant Crystal Reeves with the Coker Group in Roswell, Ga. Family practitioners will find their payments reduced for J1030 and J1040, injected methylprednisolone in 40-mg and 80-mg doses. As of January, the two codes reimbursed $5.09 and $10.17 respectively, but now they're down to $4.30 and $5.18. The change may make billing for the larger...

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