tci Medicare Compliance & Reimbursement - 2005 Issue 3

Oncology: Accountability Office Can't Count, Docs Charge

Oncologists should be able to afford the new, reduced payments for medications that take effect in January, claims the Government Accountability Office in a new report ("Medicare Chemotherapy Drugs: New Drug And Administration Fees Are Closer To Providers' Costs," GAO-05-142R). The GAO studied 16 drugs commonly billed by oncologists and found that Medicare payments would be 22 percent above oncologists' costs in 2004 and 6 percent above their costs in 2005. The American Society for Clinical Oncology responded that a survey of its members found that payments would be only 4 percent above members' costs in 2005...

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