Health Information Management

Billing for packaged drugs: Meet coverage requirements

Briefings on APCs, April 1, 2008

If a drug is listed in OPPS Addendum B with a status indicator N (i.e., packaged), should a hospital bill the drug to Medicare? Not necessarily, says Hugh Aaron, MHA, JD, CPC, CPC-H, senior advisor at HCPro, Inc., in Marblehead, MA. The fact that a drug is listed as packaged in Addendum B does not necessarily mean that Medicare covers it. Rather, a status indicator of N simply means that the drug is packaged for payment purposes if the local Medicare contractor (i.e., an FI or Medicare Administrative Contractor [MAC]) treats the drug as covered.

Post a Comment

Name:

 

E-mail:

 

Please enter your comment below:

   

Please enter the text below:

   
   
    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular