CMS Dramatically Increases Penalties for Price Transparency Non-Compliance – Panacea Responds with a No-Cost Consultation

ST. PAUL, MN – With the dramatic increase in civil penalties announced by the Center for Medicare & Medicaid Services (CMS), Panacea Healthcare Solutions, Inc., the leading experts in hospital price transparency, announced that it will make its hospital, physician and pharmacy pricing senior-level consultants available to hospitals at no cost to review and make […]

Document Your Leftovers: The JW Modifier and How to Use It

On Jan. 1, 2017, the Centers for Medicare & Medicaid Services (CMS) and Medicare Administrative Contractors (MACs) began requiring the use of the JW modifier. The JW modifier is appended to applicable drug HCPCS codes to report the discarded amount of unused injectable medication from a single-dose vial. The HCPCS code and JW modifier are […]

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 […]