Health Information Management

Tip of the Week: Check your 2007 reimbursement for specific drugs

APCs Insider, July 27, 2007

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

CMS acknowledged incorrect drug payments in the first and second quarters of 2007. This included seven drugs with incorrect payment rates for dates of service effective January 1-March 31 (C9350, J0152, J0215, J0289, J7342, J8560, and J9268), and two drugs with dates of service effective April-June 30 (Q2017 and J2503). You can find a complete list of these drugs' long descriptors and corrected payment rates in Tables 6 and 7 of Transmittal 1259.

Some of the payment errors were significant, and Dave Fee, MBA, marketing manager of outpatient products for 3M Health Information Systems in Salt Lake City strongly recommends that hospitals that administer these drugs review their payments for these periods. "Hospitals are responsible for going back and doing that review," he says.

To access Transmittal 1259, go to the CMS Web site at

(The above tip appeared in the August 2007 Briefings on APCs).

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

    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