tci Medicare Compliance & Reimbursement - 2004 Issue 34

Physicians: Cheaper Equipment + Reduced Pay = Better Care?

The official word on respiratory therapy. Heads up, physicians. Patients who need and use nebulizers may be forced to switch to metered-dose inhalers, thanks to drastic cuts to inhalation drugs.In its proposed 2005 physician fee schedule, the Centers for Medicare & Medicaid Services says it will cut reimbursement rates for inhalation drugs albuterol sulfate and ipratropium bromide, as well as payment rates for nebulizers under code E0570 (nebulizer, with compressor).The upcoming coverage of MDIs and their drugs under the prescription drug benefit starting in 2006 will counteract any access problems, according to CMS."MDIs are the quickest...

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