DecisionHealth, DecisionHealth - 2023 Issue 3 (March)

How to bill Medicare Part B for insulin with new limits on coinsurance

On Feb. 13, CMS published an MLN Fact Sheet regarding billing procedures for insulin following the new regulation that limits the Part B coinsurance for a month’s supply of insulin at $35. CMS is instructing providers not to bill for supplies for insulin for July 2023 or subsequent months in advance of July 2023 to ensure patients aren’t charged more than the $35 maximum allowed for that month.

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