Oncology & Hematology Coding Alert

CMS News:

CMS Update: You Can Hope To Refine Your Biosimilar Coding

Medicare to adopt common J codes for biosimilar and reference biologic drugs. The Centers for Medicare & Medicaid Services (CMS) is expected to incorporate biosimilars that are approved under the abbreviated biological approval pathway into the average sales price (ASP) payment methodology. According to guidance from CMS earlier this year, Medicare was to pay 106 percent of the manufacturer’s wholesale [...]
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