SIDEBAR: Customary Prompt Pay


Get Permission

In the 2006 Physician Fee Schedule, the Centers for Medicare & Medicaid Services (CMS) interpreted the Medicare Modernization Act definition of average sales price to include “prompt pay” in its calculation. CMS maintains that since the statute includes the words “prompt pay discount,” it must include the method when calculating average sales price, which artificially lowers Part B reimbursement for physicians and could adversely affect access to care for patients with cancer. ■


Related Articles

Oncology Community Faces Complex Challenges in Evolving Policy Arena

As the political environment heats up in advance of the upcoming presidential campaign season, many issues crucial to the oncology community are being placed on the political chopping block as policymakers seek ways to reduce the mounting debt and soaring health-care spending. To help clarify some...

SIDEBAR: Letter to President Obama

Excerpt from a letter signed by ASCO and other leading cancer organizations to President Barack Obama (July 13, 2011) urging him to resist proposed cuts to Medicare reimbursement for oncology drugs:

“Due to financial and administrative burdens that currently exist, community oncology practices...


Advertisement

Advertisement



Advertisement