Comparison of ASP and AMP for Medicare Part B
Healthcare Auditing Weekly, OIG, May 13, 2008
The OIG posted their sixth report comparing average sales prices (ASP) to average manufacturer prices (AMP), covering both the current ASP payment methodology and a revised ASP payment methodology recently mandated by congress.
In December 2007, the Medicare, Medicaid, and SCHIP Extension Act of 2007 amended section 1847A(b) of the Social Security Act (the Act) and changed the way in which CMS calculates volume-weighted ASPs, as of April 1, 2008. The OIG used CMS’s ASP payment amount methodology to identify 41 of 369 drug codes with ASPs that exceeded AMPs by at least 5 percent in the third quarter of 2007. Thirty-one of the 41 codes also met the threshold for price adjustments in at least one of the prior OIG reports comparing ASPs to AMPs.
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