tci Medicare Compliance & Reimbursement - 2004 Issue 43

Physicians: Pay For Part B Drugs Cut, But Physicians Can Bill For More Services

3 simple rules for getting inpatient visits rightMedicare's final physician payment rule for 2005 makes about a 6-percent reduction from 2004 in the amount the program will reimburse oncologists for cancer drugs administered in their offices. However, in its continuing attempt to reimburse accurately but not overpay, Medicare is boosting opportunities for oncologists to bill for services they render in connection with administering drugs, Centers for Medicare & Medicaid Services Administrator Mark McClellan said in a Nov. 3 conference call with reporters.  Numerous studies have concluded that Medicare overpays substantially when it reimburses for drugs that are...

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