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Where would you go to find out how much to bill for J codes, i've looked everywhere on the Medicare website.

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Author Topic: J Codes  (Read 1220 times)

marciam

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J Codes
« on: March 24, 2009, 10:00:21 AM »
 ???

Pay_My_Claims

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Re: J Codes
« Reply #1 on: March 24, 2009, 02:53:22 PM »
Do you want to know how much to bill or how much is reimbursed??? The provider should already have his own fee schedule.

cohenmk

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Re: J Codes
« Reply #2 on: April 07, 2009, 01:51:51 PM »
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.