Under Medicare, the components for many procedures are “bundled” together under one code. The bundle includes important components of the procedure, such as: staff time, disposable plastics, electricity for the building and—under the Hospital Outpatient Prospective...
The Centers for Medicare and Medicaid Services (CMS) has developed Ambulatory Payment Classifications (APCs) as a method of payment for hospital outpatient services. Each APC is composed of procedures which are similar in clinical intensity, resource utilization, and...
The Centers for Medicare & Medicaid Services (CMS) Medicare program reimburses for Part B drugs based on the Average Sales Price (ASP) of a drug +6%. These ASP rates are submitted quarterly by drug manufacturers and are based on data from two quarters prior.¹...
