Starting July 1, 2023, Part B coinsurance for a month’s supply of insulin used in an insulin pump covered under the DME benefit can’t exceed $35.
The Centers for Medicare & Medicaid Services (CMS) will adjust payments to suppliers and pharmacies to account for the balance of the reduced coinsurance. Suppliers will continue to get the Medicare payment amount for the insulin (average sales price plus 6%) minus any applicable coinsurance, which is capped at $35
As a result of the continued consequences of the Coronavirus Disease 2019 (COVID-19) pandemic, Secretary of Health and Human Services, Xavier Becerra, renewed the COVID-19 public health emergency (PHE), effective February 11, 2023, for another 90 days.
Source: U.S. Department of Health and Human Services (HHS)
About 3Gen
3Gen Consulting has always been in the forefront when it comes to adding value. We always believe in setting our own standards. What sets us apart is the investment that we make in our people, processes and innovation to provide you with market leading healthcare revenue cycle management services. We work as an extension of our clients’ teams by focusing on their key challenges, aligning with their culture and delivering the best results.
If you’re interested in finding the right medical billing and coding services partner, contact us today.
As 2023 kicks off, now is a great time for pediatric revenue cycle leaders to take a step back and review ways they can set themselves up for success, reevaluating some of their priorities and best practices. For many leaders, this can involve everything from renewed focus on efficiency to reviewing your relationship with pediatric medical billing companies.
2023 is shaping up to be a year of change for home health billing and home health coding. This means revenue cycle leaders will see clear benefits from familiarizing themselves with these changes and working to get in front of the shifts that are influencing the home health billing and coding space.
