tci Part B Insider - 2005 Issue 19

DRUG ADMINISTRATION: Doctors Shouldn't Have To Promise Exact Date Of Drug Administration Under CAP

Associations object to 'radical' change in drug billing windowNow that the Centers for Medicare and Medicaid Services has unveiled the details of next year's Competitive Acquisition Program (CAP) for Part B drugs, physician associations are raising their concerns about the program. Comments submitted to CMS cover 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 (ACP). The ACP and the American Society for Clinical Oncology...

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