New Modifiers: Hospital Outpatient Billing for Injectable Self-Administered Drugs
Do you and your team have a good process to readily identify and bill appropriately for self-administered drugs?
The Centers for Medicare & Medicaid Services (CMS) has had a longstanding policy excluding self-administered drugs (SADs) under the outpatient Part B benefit. Oral drugs, suppositories, and topical medications, for example, are easy enough to identify as self-administered, and medications normally administered by intramuscular injection are not usually considered self-administered. But what about drugs administered subcutaneously? Read more