tci Medicare Compliance & Reimbursement - 2005 Issue 11

Long-Term Care: Providers May Have To Swallow Costlier Meds In 2006

Upside: New HEDIS standards say drugs shouldn't have been included in the first place The Medicare prescription drug benefit may exclude several classes of Medicaid-covered drugs. That could create quality-of-care problems for nursing facilities.States may decide to step in and cover excluded drugs with federal matching funds in 2006. If not, here's what an American Society of Consultant Pharmacists(ASCP) study predicts could happen:Patient care: Enrollment in Part D will be mandatory for dual-eligible patients. But the frailest may not tolerate medication changes, the Feb. 18 study found. Among the drugs excluded are benzodiazepines for muscle spasms in cerebral...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.