tci Medicare Compliance & Reimbursement - 2006 Issue 22

CMS: PPAC Meeting Yields No Sympathy For Your Part D Pain

Nurse practitioners soon may be able to bill for their own services in hospitals.The Centers for Medicare & Medicaid Services brushed off physicians' concerns about the Part D drug program at the May 22 meeting of the Practicing Physicians Advisory Council (PPAC). PPAC had recommended that CMS keep track of how much time physicians spend appealing Part D drug coverage decisions on behalf of their patients. PPAC also wanted CMS to monitor the time and costs of care related to coming up with substitute medications for drugs that were denied.CMS responded that the Part D drug program...

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