The Medicare Payment Advisory Commission (MedPAC) reported to Congress in January that Medicare’s switch to a payment method known as ASP, or Average Sale Price, has reduced spending on drugs in the Medicare Part B program. This system reflects actual market spending, rather than wholesale prices.
On May 23 it will be mandatory to use your National Provider Identifier (NPI) number when billing the Centers for Medicare & Medicaid Services (CMS). Currently, you can use your PIN alone, your PIN and the new NPI, or the NPI alone—but as of May 23, only the NPI number will be accepted.
March’s Coding Challenge
February’s Coding Answer
Note these CPT and Healthcare Common Procedure Coding System (HCPCS) code changes…
February Coding Scenario
November’s Coding Answer
January Coding Scenario
Rheumatologists and patients report mixed experiences with the new prescription drug benefit
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