Corporate Compliance

Note from the instructor: New CoP addresses patient self-administration of medications

Medicare Insider, May 15, 2012

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Editor's Note: Kimberly Hoy, Esq., director of Medicare and compliance for HCPro, Inc., is the author of this week's note from the instructor.

CMS put on display two rules on May 9designed to reduce the regulatory burden on hospitals and save hospitals nearly a billion dollars a year in administrative costs. But at least one provision in the new rules is aimed at saving costs for patients as well.

A change to the Conditions of Participation (CoP) for hospitals specifically allows patients to self-administered drugs. Many hospitals already have a program for self-administration of medications on the outpatient side, specifically because of the Medicare policy of non-coverage of these drugs along with their administration.

The new CoP is included under the nursing services section at 42 C.F.R. 482.23(c)(6). It allows for self-administration of hospital issued drugs as well as drugs brought from home. The latter is often a significant issue because the price for individual doses in the hospital outpatient setting is often substantially higher than the patient can obtain the drug through their pharmacy insurance plan.

Continue reading Kimberly's note at the Medicare Mentor Blog



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