Question:
What are some of the transparency requirements for Medicare Administrative Contractors (MACs) regarding self-administered injectable drugs?
Answer:
According to the Medicare Benefit Policy Manuel:
“A/B MACs (A), (B), and (HHH), and DME MACs must publish a list of the injectable drugs that are subject to the self-administered exclusion on their website, including the data and rationale that led to the determination.”
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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