tci Medicare Compliance & Reimbursement - 2005 Issue 22

Pharmaceuticals: CAP Shouldn't Require Exact Date Of Drug Admin

Associations object to 'radical' change in drug-billing window.Now that the Centers for Medicare and Medicaid Services has unveiled the details of next year's Competitive Acquisition Program for Part B drugs, physician associations are raising their concerns about the program. Comments submitted to CMS dealt with the following issues:   The change from the current one-year window to submit claims for drug administration to a 14-day window after acquiring the drug is "radical" and  "will impose an excessive burden in many practice settings," says the American College of Physicians.   CMS won't pay doctors separately for the...

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