ASP Drug Pricing Files Update Released for July 2019 The Centers for Medicare & Medicaid Services (CMS) just released the updated 2019 ASP drug pricing files for July, available at CMS.gov. These files contain the payment amounts to be used to pay for Part B covered drugs in the third quarter. Updated July 2019 payment limits ...
In Billing
Jun 13th, 2017
The July 2017 Average Sales Price (ASP) and Not Otherwise Classified (NOC) drug pricing files and crosswalks are now available on the Centers for Medicare & Medicaid Services’ 2017 ASP Drug Pricing Files webpage. Payment Amounts These files contain the payment amounts that will be used to pay for Part B covered drugs for the third quarter ...
In Billing
Feb 3rd, 2017
The Centers for Medicare & Medicaid Services (CMS) has released the files containing the payment amounts for Part B covered drugs for the first quarter of 2017. Medicare Part B payment limits for valid HCPCS codes that are not included in the quarterly pricing files will be determined by local Medicare contractors. Comparing the first ...
In Billing
Jan 16th, 2017
The 21st Century Cures Act, signed into law Dec. 13, 2016, changed the way certain Medicare Part B drugs infused through durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items will be paid beginning in April. Curing Improper Payments Section 5004 sets payment amounts for Part B drugs infused through DMEPOS items using the Average ...
Aug 31st, 2016
The October 2016 update to the Outpatient Prospective Payment System (OPPS) includes one new HCPCS Level II code, two deleted HCPCS Level II codes; ambulatory payment classification (APC) and status indicator (SI) changes to several drug codes; and other changes to various payment policies. New Ultrasound Code HCPCS Level II code C9744 Ultrasound, abdominal, with ...