Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page
Review the rationale behind the legislation and learn the reason for the update. The Centers for Medicare & Medicaid Services (CMS) recently released its seventh annual update to the Drug Spending Dashboards to include data for 2021 as the agency continues to implement the Inflation Reduction Act. What Is the Inflation Reduction Act? The Inflation […]
The post CMS Updates Drug Spending Dashboards appeared first on AAPC Knowledge Center.
OIG audit finds Medicare could have saved up to $ 215.8 million over 5 years. Drug testing is generally performed to detect the presence or absence of drugs in patients undergoing treatment for pain management or substance use disorders. There are two types of drug testing: presumptive and definitive. A presumptive drug test identifies whether drugs […]
The post Overpayments for Definitive Drug Testing Services Cost Medicare Millions appeared first on AAPC Knowledge Center.
Check the dosage of Evusheld™ when comparing to existing code Q0220. Medicare announced a new HCPCS Level II code for tixagevimab co-packaged with cilgavimab (EVUSHELD™), which providers administer as a preventive medicine for certain patients before exposure to COVID-19. The effective date of Q0221 is Feb. 24, 2022. Compare Q0221 to Q0220 Note the 600 […]
The post Add Q0221 for COVID-19 Preventive Drug appeared first on AAPC Knowledge Center.
Retroactive code pricing updates may require claims lookback. The Centers for Medicare & Medicaid Services (CMS) has posted a retroactive update to the April Average Sales Price (ASP) pricing file for three Medicare Part B drugs. Also now available are the July ASP and Not Otherwise Classified (NOC) pricing files and the ASP NDC HCPCS […]
The post CMS Updates Medicare Part B Drug Prices appeared first on AAPC Knowledge Center.
Know how and when to recoup the cost of unused drugs.
The post Know When to Report Drug Waste appeared first on AAPC Knowledge Center.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on June 17 that would base prescription drug payments on patient outcomes.
The post CMS Proposes to Allow Patient Outcomes to Be the Standard for Negotiating Prescription Drug Costs appeared first on AAPC Knowledge Center.
Federal Government Alleges Kickback Scheme The Department of Justice (DOJ) intervened in a whistleblower lawsuit against Questcor Pharmaceuticals, now a part of Mallinckrodt ARD LLC, formerly known as Mallinckrodt ARD Inc. The federal government alleges that the drug company Mallinckrodt engaged in fraudulent behavior that directly violates the False Claims Act by using a charitable foundation […]
The post Drug Company Used Charity Foundation as Kickback Conduit Alleges Whistleblower Lawsuit, Feds Agree appeared first on AAPC Knowledge Center.
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 […]
The post ASP Drug Pricing Files July 2019 Update appeared first on AAPC Knowledge Center.
