Question:

We are looking for clarity about billing for immunosuppressive drugs. If a supplier mailed an immunosuppressive drug shortly before the end of a beneficiary’s inpatient stay and used the mailing date as the date of service, would the claim be rejected if this happened because the claim’s date of service preceded the beneficiary’s date of discharge?

Answer:

Previously, the claim could be rejected, according to the Centers for Medicare & Medicaid Services (CMS). However, in a recent document, CMS clarified that a supplier can use the discharge date as the date of service if mailing immunosuppressive drugs one or two days before discharge.

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