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  • Separate Payment Plan For The Clotting Factor
  • Post author
    Lacy Gaskins

Separate Payment Plan For The Clotting Factor

The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) arrange for separate payment for the clotting factor furnishing fee when the national payment limit for a clotting factor is not included on the Average Sales Price (ASP) Medicare Part B Drug Pricing File, or the Not Otherwise Classified (NOC) Pricing File. A clotting factor furnishing fee of $0.215 per unit is to be added to the payment limit for the clotting factor for dates of service January 1, 2018, through December 31, 2018.

Full Transmittal: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R3862CP.pdf

Subject: Annual Clotting Factor Furnishing Fee Update 2018

Number: 3862

Title: 10254

Release Date: September 15, 2017

Effective Date: January 1, 2018

Implementation Date: January 2, 2018

Special Notes: NA

 

  • Post author
    Lacy Gaskins