Health Information Management

Separately payable drugs: New calculation method proposed for 2010 doesn?t equal increased payment

APCs Insider, August 28, 2009

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Pharmacy stakeholders hoping for an increase in payment rates for separately payable drugs in the 2010 OPPS proposed rule didn’t quite get their wish

Providers and various other stakeholders have shared their concerns about APC drug reimbursement rates with CMS repeatedly over the past four years. Their specific concern is how differential drug markup practices result in “charge compression” and have a negative effect on the calculation methodology CMS uses to set payment rates for separately payable drugs.

Continue reading “Separately payable drugs: New calculation method proposed for 2010 doesn’t equal increased payment” on the HCPro Web site. Briefings on APCs subscribers have free access to this article in the September issue.



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