Expect patient backlash from Part D
Health Care Auditing Strategies, December 1, 2005
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Hospitals must bill self-administered drugs to outpatients
Hospital outpatient departments appear to be in for a rude awakening on day one of the new Medicare Part D prescription drug plan: Patients complaining that their outpatient self-administered drugs are not covered under the new benefit.
It's a serious operational and public relations issue, one that Valerie Rinkle, MPA, revenue cycle director for Asante Health System in Medford, OR, knows all too well. Rinkle has spent the past several months trying to warn CMS and her local congressman of the impending problem as the January 1, 2006, deadline approaches, but to no avail.
"Hospitals should anticipate beneficiary phone calls with patient complaints," Rinkle says.
"It's definitely going to be a shock to patients," adds Andrew Ruskin, an attorney with Vinson and Elkins in Washington, DC.
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