{"id":1033,"date":"2012-07-02T09:50:50","date_gmt":"2012-07-02T16:50:50","guid":{"rendered":"https:\/\/hartleymedical.com\/blog\/?p=1033"},"modified":"2015-06-23T21:35:16","modified_gmt":"2015-06-24T04:35:16","slug":"a-cms-billing-update-not-if-but-when","status":"publish","type":"post","link":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/","title":{"rendered":"A CMS Billing Update: Not If, But When"},"content":{"rendered":"<p><a href=\"https:\/\/hartleymedical.com\/category\/reimbursement\/\" target=\"_blank\"><img decoding=\"async\" src=\"http:\/\/i1083.photobucket.com\/albums\/j392\/HartleyMedical\/Medicare-2.jpg\" alt=\"Photobucket\" width=\"501\" height=\"125\" border=\"0\" \/><\/a><\/p>\n<p>At the 14<sup>th<\/sup> Annual ASIPP meeting in Washington, D.C., June 8-10, 2012, my team had the opportunity to discuss CMS billing with one of the conference&#8217;s faculty members &#8220;\u201c a specialist on medical coding\/billing and compliance. According to this source, CMS is aware of the issue where pharmacies are billing Medicare for implanted drug pump medication provided &#8220;incident to&#8221;\u009d a physician service &#8220;\u00a6 and mandates have been developed by CMS, just not yet enforced.<\/p>\n<p>This billing specialist stated that CMS plans to implement the mandate effective January 1, 2013 &#8220;\u201c which would prohibit pharmacies from billing Medicare for implanted drug medications. Currently, whether these claims are denied or not denied depends on the region where they are submitted. Throughout a majority of the U.S., these claims are denied by Medicare, but pharmacies in a few regions are able to receive reimbursement. According to our source&#8217;s expert opinion, there is no question of &#8220;if&#8221;\u009d CMS will prohibit pharmacies from submitting billing for implanted drug pumps in this manner, but &#8220;when&#8221;\u009d it will be instituted. This sentiment was reiterated at the International Academy of Compounding Pharmacists Annual Meeting in Washington, D.C.<\/p>\n<p>For more information, call <strong>888.671.2888<\/strong> or e-mail <a href=\"mailto:questions@hartleymedical.com\"><strong>questions@hartleymedical.com<\/strong><\/a>.<\/p>\n<p>If you are not fully aware of the CMS billing issue, visit our past blog articles entitled <a href=\"https:\/\/hartleymedical.com\/change-is-coming-medicare-billing-for-implanted-drug-pumps\/\"><em>Is Change Coming? Medicare Billing for Implanted Drug Pumps<\/em><\/a> and <a href=\"https:\/\/hartleymedical.com\/a-cms-billing-update\/\"><em>A CMS Billing Update<\/em><\/a>.<\/p>\n<p>For more information about Medicare reimbursement, visit Hartley Medical&#8217;s <strong><em>Knowledge Center<\/em><\/strong> by clicking <a href=\"https:\/\/hartleymedical.com\/category\/reimbursement\/\">here<\/a>.<\/p>\n<p><a href=\"https:\/\/hartleymedical.com\/knowledge-center\/\"><img decoding=\"async\" class=\"alignleft size-medium wp-image-1118\" title=\"knowledgecenter\" src=\"https:\/\/hartleymedical.com\/wp-content\/uploads\/2012\/07\/knowledgecenteronlysmall6-300x39.jpg\" alt=\"\" width=\"300\" height=\"39\" srcset=\"https:\/\/hartleymedical.com\/wp-content\/uploads\/2012\/07\/knowledgecenteronlysmall6-300x39.jpg 300w, https:\/\/hartleymedical.com\/wp-content\/uploads\/2012\/07\/knowledgecenteronlysmall6-1024x135.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>At the 14th Annual ASIPP meeting in Washington, D.C., June [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>A CMS Billing Update: Not If, But When - Hartley Medical<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A CMS Billing Update: Not If, But When - Hartley Medical\" \/>\n<meta property=\"og:description\" content=\"At the 14th Annual ASIPP meeting in Washington, D.C., June [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/\" \/>\n<meta property=\"og:site_name\" content=\"Hartley Medical\" \/>\n<meta property=\"article:published_time\" content=\"2012-07-02T16:50:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2015-06-24T04:35:16+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/i1083.photobucket.com\/albums\/j392\/HartleyMedical\/Medicare-2.jpg\" \/>\n<meta name=\"author\" content=\"William Stuart\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"William Stuart\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/\",\"url\":\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/\",\"name\":\"A CMS Billing Update: Not If, But When - Hartley Medical\",\"isPartOf\":{\"@id\":\"https:\/\/hartleymedical.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#primaryimage\"},\"thumbnailUrl\":\"http:\/\/i1083.photobucket.com\/albums\/j392\/HartleyMedical\/Medicare-2.jpg\",\"datePublished\":\"2012-07-02T16:50:50+00:00\",\"dateModified\":\"2015-06-24T04:35:16+00:00\",\"author\":{\"@id\":\"https:\/\/hartleymedical.com\/#\/schema\/person\/fca5f244d09ce1eb4e073ffb32692cef\"},\"breadcrumb\":{\"@id\":\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#primaryimage\",\"url\":\"http:\/\/i1083.photobucket.com\/albums\/j392\/HartleyMedical\/Medicare-2.jpg\",\"contentUrl\":\"http:\/\/i1083.photobucket.com\/albums\/j392\/HartleyMedical\/Medicare-2.jpg\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/hartleymedical.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"A CMS Billing Update: Not If, But When\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/hartleymedical.com\/#website\",\"url\":\"https:\/\/hartleymedical.com\/\",\"name\":\"Hartley Medical\",\"description\":\"21st Century Technology \/ Legendary Service\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/hartleymedical.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/hartleymedical.com\/#\/schema\/person\/fca5f244d09ce1eb4e073ffb32692cef\",\"name\":\"William Stuart\",\"sameAs\":[\"https:\/\/hartleymedical.com\/\"],\"url\":\"https:\/\/hartleymedical.com\/author\/william-stuart\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"A CMS Billing Update: Not If, But When - Hartley Medical","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/","og_locale":"en_US","og_type":"article","og_title":"A CMS Billing Update: Not If, But When - Hartley Medical","og_description":"At the 14th Annual ASIPP meeting in Washington, D.C., June [&hellip;]","og_url":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/","og_site_name":"Hartley Medical","article_published_time":"2012-07-02T16:50:50+00:00","article_modified_time":"2015-06-24T04:35:16+00:00","og_image":[{"url":"http:\/\/i1083.photobucket.com\/albums\/j392\/HartleyMedical\/Medicare-2.jpg"}],"author":"William Stuart","twitter_card":"summary_large_image","twitter_misc":{"Written by":"William Stuart","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/","url":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/","name":"A CMS Billing Update: Not If, But When - Hartley Medical","isPartOf":{"@id":"https:\/\/hartleymedical.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#primaryimage"},"image":{"@id":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#primaryimage"},"thumbnailUrl":"http:\/\/i1083.photobucket.com\/albums\/j392\/HartleyMedical\/Medicare-2.jpg","datePublished":"2012-07-02T16:50:50+00:00","dateModified":"2015-06-24T04:35:16+00:00","author":{"@id":"https:\/\/hartleymedical.com\/#\/schema\/person\/fca5f244d09ce1eb4e073ffb32692cef"},"breadcrumb":{"@id":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#primaryimage","url":"http:\/\/i1083.photobucket.com\/albums\/j392\/HartleyMedical\/Medicare-2.jpg","contentUrl":"http:\/\/i1083.photobucket.com\/albums\/j392\/HartleyMedical\/Medicare-2.jpg"},{"@type":"BreadcrumbList","@id":"https:\/\/hartleymedical.com\/a-cms-billing-update-not-if-but-when\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/hartleymedical.com\/"},{"@type":"ListItem","position":2,"name":"A CMS Billing Update: Not If, But When"}]},{"@type":"WebSite","@id":"https:\/\/hartleymedical.com\/#website","url":"https:\/\/hartleymedical.com\/","name":"Hartley Medical","description":"21st Century Technology \/ Legendary Service","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/hartleymedical.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/hartleymedical.com\/#\/schema\/person\/fca5f244d09ce1eb4e073ffb32692cef","name":"William Stuart","sameAs":["https:\/\/hartleymedical.com\/"],"url":"https:\/\/hartleymedical.com\/author\/william-stuart\/"}]}},"_links":{"self":[{"href":"https:\/\/hartleymedical.com\/wp-json\/wp\/v2\/posts\/1033"}],"collection":[{"href":"https:\/\/hartleymedical.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hartleymedical.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hartleymedical.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/hartleymedical.com\/wp-json\/wp\/v2\/comments?post=1033"}],"version-history":[{"count":0,"href":"https:\/\/hartleymedical.com\/wp-json\/wp\/v2\/posts\/1033\/revisions"}],"wp:attachment":[{"href":"https:\/\/hartleymedical.com\/wp-json\/wp\/v2\/media?parent=1033"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hartleymedical.com\/wp-json\/wp\/v2\/categories?post=1033"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hartleymedical.com\/wp-json\/wp\/v2\/tags?post=1033"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}