Health Information Management

Editor's note

APCs Insider, January 25, 2008

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Please note that there is additional information concerning the January 18 Tip of the Week. The original tip read:

Tip of the Week: Stay up-to-date on diagnostic radiopharmaceuticals in 2008

Although CMS packaged diagnostic radiopharmaceuticals for 2008, hospitals must submit HCPCS code(s) for diagnostic radiopharmaceuticals furnished in connection with separately payable diagnostic nuclear medicine procedures.

For 2008, CMS will begin paying for separately payable therapeutic radiopharmaceuticals and separately payable brachytherapy sources on a prospective payment basis rather than on a cost basis.

(The above tip was excerpted from the January issue of Briefings on APCs).

Clarification:

The Medicare Extension Act of 2007, signed into law on December 29, 2007, includes a provision which continues the cost basis reimbursement for radiopharmaceuticals and brachytherapy sources through June 30, 2008. Separate payment will continue for hospitals at "Charges Adjusted to Cost" not the Prospective Payment Basis.



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