Oncology & Hematology Coding Alert

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Take a Quick Tour of Recent CMS Announcements That Affect You

See what's new for drug payment, PET coverage, and HSCT trials.Summer may be winding down, but CMS is still churning out announcements left and right. Here are a few you'll want to be sure you don't miss.Expect Final Rule Nixing Payment for OverfillIf you've been charging Medicare for the drug amount that manufacturers include as overfill, watch out. Medicare has proposed 2011 revisions to Part B payment policies and these include a planned update to the "Average Sales Price as the Basis for Payment" section, says Kelly Loya, CPC-I, CPhT, of Sinaiko Healthcare Consulting.In the proposed rule, CMS states that they have become aware that drug manufacturers often "overfill packages in excess of the amount noted on the label to account for the wasted drug volumes that can occur during medication administration to the patient," Loya says.CMS's position is that the overfill does not represent a cost to the purchasing [...]
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