Publisher's Synopsis
Protect vital revenue by following Medicare rules At MedLearn Publishing, we understand the importance of pharmacy revenues to your hospital. All too often, we also see how coding and billing mistakes can eat away at Medicare payments for pharmacy services and supplies. Let us help you protect your pharmacy revenues! This time-tested book delivers the accurate answers you need to achieve the full appropriate reimbursement and consistent compliance with Medicare payment policies. Highlights: * Extensive coverage of 2014 changes, including HCPCS code additions, deletions and descriptor modifications * Comprehensive guidance with Medicare reimbursement rules for the hospital pharmacy department * Discussion of hot topics, such as the extended packaging of imaging agents/drugs and increasing the Medicare cost threshold for separately payable drugs * Current payment information, including APC rates, for the full range of pharmaceuticals, including drugs, biologicals, and radiopharmaceuticals * How to submit claims in compliance with the latest Medicare rules; includes a special emphasis on billable unit requirements * Crucial compliance issues, such as billing and coding rules for pharmaceuticals dispensed in the inpatient and outpatient settings, including self-administered drugs * New ICD-10-CM information, helping you prepare for the mandatory implementation on October 1, 2014; plus, new or updated detail pertaining to infusion services and potential RAC targets * Quick-reference tables presenting up-to-date HCPCS codes, organized in numerical order, with the corresponding 2014 payment rates and billable units * Chapter devoted to drug data, including two extensive tables with billable units of measure defined, one sorted by 2014 codes and one by drug names AN IDEAL RESOURCE FOR: Hospital pharmacies, coders and billing departments
