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2017 Revenue Capture Guide for the Pharmacy

Updated for 2017, this easy to ready guide includes revised drug codes, new payment rates, JW modifier guidance, and guidelines pertaining to drug packaging and billing unit issues.

Price: $167.00



Effectively reference correct HCPCS codes for pharmacy.

Don't let coding and billing mistakes eat away at Medicare payments for pharmaceuticals, pharmacy services and related supplies. Maintain compliance and achieve the full, appropriate reimbursement with help from this comprehensive guide, updated with the latest drug codes, payment rates and more for 2017.

What's in this guide?

  • Chapter 1: Overview of Government Payment Policies
    • Medicare Parts A-D
    • Medicaid Program
    • Children's Health Insurance Program
    • Health Insurance Marketplace
    • Drug Payment Under Parts A and B
    • Part B versus Part D Coverage
  • Chapter 2: Medicare Drug Payments in Hospital Settings
    • Inpatient Prospective Payment System
    • Outpatient Prospective Payment System
    • Proposal for New Drug-Payment Model
    • Pass-Through Drugs
    • Biosimilar Biological Products
    • New, Unclassified Drugs and Biologicals
    • 340B Drug-Pricing Program
    • Value-Based Purchasing Program
  • Chapter 3: Coding and Billing Guidelines
    • Complete Documentation
    • ICD-10-CM Diagnosis Coding
    • National Drug Codes
    • HCPCS Level I and II Code Assignments
    • Revenue Center Codes
    • Discarded Drugs and Biologicals
    • Hemophilia Clotting Factors
    • Self-Administered Drugs
    • Intravenous Immune Globulin
    • Erythropoetin-Stimulating Agents
    • Drugs Under the Esrd PPS
    • Drug Administration
    • Pharmacists' Professional Services
    • Medicare Recovery Audit Program
    • Medicaid Integrity Program
    • OIG Audits for Drug Billing Errors
    • Mitigating Billable Unit Risk
    • Medically Unlikely Edits
    • Best Practices for Sustainable Compliance
  • Chapter 4: 2017 HCPCS Codes for Drugs and Biologicals
  • Appendix A: Web Site for Medicare Drug Coverage/Payment Information

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For certain MedLearn Publishing publications, you will see an 'AMA Royalty Fee' in your shopping cart. This charge covers the licensing fee MedLearn Publishing pays to the American Medical Association (AMA) for references to CPT® codes. The AMA owns the copyright for CPT codes.