tci Medicare Compliance & Reimbursement - 2004 Issue 42

Coverage: Medicare Announces New Cancer Drug Admin Codes

But are they enough to offset oncologists' losses in other areas?Effective Jan. 1, 2005, the Centers for Medicare & Medicaid Services is implementing 14 new physician payment codes covering the cost of administering anti-cancer drugs, agency administrator Mark McClellan announced in an Oct. 12 letter to Rep. Nancy Johnson (R-CT).McClellan said the codes would address oncologists' complaints that they have been under-reimbursed for administering the drugs. In the debate over the Medicare Modernization Act, oncology groups opposed efforts to reduce Medicare payments to physicians for the drugs themselves, even though these payments were almost universally regarded as...

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