Annual Clot Factor Furnishing Fee Updated for 2012

Effective Jan. 1, 2012 the clotting factor furnishing fee will increase 5 cents, to $0.181 per unit—breaking a long-time trend of annual 6 cent increases.

Providers billing Medicare carriers, fiscal intermediaries, Parts A and B Medicare administrative contractors (A/B MACs), or regional home health intermediaries for services related to the administration of clotting factors to Medicare beneficiaries should be aware of this update.

Medicare contractors will make separate payment for the clotting factor furnishing fee when separate payment is allowed and when no payment limit is published in either the average sales price or not otherwise classified drug pricing files.

Source: The Centers for Medicare & Medicaid Services, Transmittal 2279, Change Request (CR) 7543, issued Aug. 19, 2011

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