tci Part B Insider - 2006 Issue 10

STUDIES & SURVEYS: Massive Decreases In Drug Payments May Be Coming Your Way

Medicare overpaid $110 million for Part B drugs in 2005, says OIGIt may be hard to believe, but the HHS Office of Inspector General believes you could be getting paid too much for many Part B drugs. The OIG says that inconsistent accounting practices have led to CMS overestimating many drug costs. ("Calculation of Volume-Weighted Average Sales Price For Medicare Part B Prescription Drugs," OEI-03-05-00310).Some 46 percent of drug codes had more reimbursement than they should have, which meant Medicare overpaid you by $115 million in 2005. For another 13 percent of drug codes, Medicare underpaid, meaning...

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