Nov 1st, 2018
Learn what’s in store for facilities billing under the Home Health Prospective Payment System in the coming years. For 2019, the Centers for Medicare & Medicaid Services (CMS) will recalibrate scores for the case-mix adjustment variables, clinical and functional thresholds, payment regression model, and case-mix weights using 2017 claims data. The 2019 market basket update ...
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 Audit
May 11th, 2012
The Centers for Medicare & Medicaid Services (CMS) is postponing until 2013 the collection of data mandated by the Physician Payments Sunshine Act. CMS missed the implementation deadline of October 2011, and instead released draft regulations that solicited strong reactions from stakeholders. Dawn of Sunshine Act Postponed to 2013 was last modified: January 17th, 2015 ...
In Billing
Feb 10th, 2012
The Centers for Medicare & Medicaid Services (CMS) has released the April update to the Average Sales Price (ASP) Medicare Part B Drug Pricing files and revisions to prior quarterly pricing files. Medicare will use these pricing files to determine the payment limit for claims for separately payable Medicare Part B drugs processed or reprocessed on ...
In Billing
Aug 31st, 2011
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 ...