Code Break: Medicare Accelerates ‘J-Code’ Assignment To Boost Uptake Of New Drugs
Executive Summary
Manufacturers can apply for permanent Medicare reimbursement codes on a quarterly basis rather than annually going forward to allow for more frequent coding awards. Recently about two dozen drugs, including three biosimilars, received permanent codes earlier than usual.
You may also be interested in...
Medicare Coverage With Evidence Development Mandate Expires After Four Years Under Senate Bill
As CMS brings public attention to process with its national coverage analysis for Alzheimer’s drugs, legislation aims to encourage quick recommendations – and strengthen collaboration with FDA.
Medicare Part B, Breakthrough Drugs Get Reimbursement Boost In Senate COVID-19 Bill
Legislation allows sponsors to request HCPCS code even before US FDA approval, but would extend the sequester until 2030 to pay for the temporary increase in payments for Part B drugs.
Medicare New Technology Add-On Payment Awards For Hospital Drugs On The Rise
Eight inpatient prescription drugs are deemed eligible for supplemental payments in 2020, a big increase from years past, based on a review of US Medicare's new technology add-on payment approvals for prescription drugs since 2011.