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Skin Substitute Manufacturers Fail to Consistently Report Prices

Noncompliance costs Medicare and its beneficiaries millions of dollars. Despite legislative requirements, the Office of Inspector General (OIG) reported that the Centers for Medicare & Medicaid Services (CMS) was unable to accurately calculate third-quarter 2022 skin substitute payment amounts because average sales prices (ASPs) were reported for only 16 of 68 billing codes. Consequently, Medicare […]

The post Skin Substitute Manufacturers Fail to Consistently Report Prices appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

CMS Issues Guidance to States and Manufacturers Regarding Value Based Purchasing (VBP) Arrangements

The Centers for Medicare & Medicaid Services (CMS) released guidance to states and manufacturers regarding participation in value based purchasing (VBP) arrangements.  The guidance also encourages states to participate in such arrangements as a means to address, as well as offset, higher cost drug treatments. 

This guidance has been released through State Release #176 and Manufacturer Release #99, which are available for download by clicking here.

If you have any questions regarding the states and/or drug manufacturer releases, email [email protected].

The Medical Management Institute – MMI – Medical Coding News & MMI Updates