Health Information Management

Q/A: Medicare drug reimbursement updates

APCs Insider, April 1, 2011

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Q: How often does Medicare update the reimbursement for drugs and biologicals? We have provided the same drug to the same patient for several months, but the payment has varied. Where can I find information about the updates?

A: Medicare updates this list on a quarterly basis when the most current average sales price information is available. The updated payment amounts are reflected in Addendum B for the new quarter. Download it directly from the CMS website.

Editor’s note: Andrea Clark, RHIA, CCS, CPCH, president of Health Revenue Assurance Associates, Inc., in Plantation, FL, answered this question.



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