Medicare Default Payment Of ASP+6% For Hospital Outpatient Drugs Has Industry Support
This article was originally published in The Pink Sheet Daily
CMS says default for reimbursement of Medicare Part B drugs used in hospital outpatient settings will be average sales price plus 6% as it seeks to improve methods of calculating a proper reimbursement rate based on data provided by hospitals. The rate has fluctuated year-to-year, from ASP+4% to ASP+6%, under the previous formula.
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CMS issues its final 2013 hospital outpatient prospective payment system rule for Medicare Part B. The ASP+6% payment rate for drugs is aimed at producing more predictable reimbursement for separately billable drugs, biologics and radiopharmaceuticals.
CMS Methodology, Not Industry Complaints, Brings Proposed Hospital Part B Outpatient Drug Reimbursement Back To ASP+6% in 2011
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