Tag: temporary payment

WASHINGTON - CMS has finalized a rule that includes a temporarily transitional payment for home infusion services, and implements a new home infusion therapy benefit.The rule, originally published in July, implements the transition payments effective Jan. 1, 2019, through Dec. 31, 2020, prior to a new permanent home infusion therapy services beginning on Jan. 1, 2021. The temporary payments, required by the Bipartisan Budget Act of 2018, address a payment gap created by the 21st Century Cures Act.The...

WASHINGTON - CMS's proposal to establish a new home infusion therapy benefit has taken a wrong turn right out of the gate, say industry stakeholders.Specifically, the agency wants to require a nurse to be present on the days when an infusion drug is administered in the home to receive payment. However, it is not uncommon for infusion drugs to be administered without a nurse, say stakeholders.“(In the private sector), if that beneficiary is on your service you get paid, even on days when the...

WASHINGTON - Temporary transitional payments for home infusion therapy are moving forward, according to an upcoming proposed rule.The rule, which will be published in the July 12 Federal Register, contains information on the implementation of the payments, which will fix a payment gap created by the 21st Century Cures Act. The Cures Act requires Medicare to pay for services associated with providing Part B home infusion drugs, but not until 2021.The temporary payment, which was passed as part of...

MCKINNEY, Texas - Also trying to push legislation across the finish line before the end of this year: home infusion stakeholders. S. 1738 and H.R. 3178 would create a temporary payment for clinical services for home infusion services beginning in 2019, bridging a gap until a permanent payment goes into effect in 2021. At press time, S. 1738 had 27 co-sponsors. H.R. 3178 has already passed by a voice vote. “We are hopeful the Senate will take action before year-end to close the gap in care that...

WASHINGTON - A bill that reforms several Medicare benefits, including home infusion and O&P, sailed through the House of Representatives this week.H.R. 3178, the “Medicare Part B Improvement Act of 2017,” includes a provision that would create a temporary payment for home infusion therapy to close a gap created by another bill, the 21st Century Cures Act. The Cures Act requires Medicare to pay for services associated with providing Part B drugs, but not until 2021. Meanwhile, a second...