Medical Billing Forum
Billing => Billing => : marciam March 24, 2009, 01:00:21 PM
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???
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Do you want to know how much to bill or how much is reimbursed??? The provider should already have his own fee schedule.
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Hi...we price our drugs based on highest contracted reimbursement rates/versus invoice for the drug in question. I have also seen where the drugs were priced anywhere from 150% to 300% over the Medicare Fee Schedule, which can be found at: http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/01a1_2009aspfiles.asp#TopOfPage
or: CMS Home > Medicare > Medicare Part B Drug Average Sales Price > 2009 ASP Drug Pricing Files
Hope this helps.