Pharmacy Question for the Week of May 29, 2017

Pharmacy Compliance Question of the Week

Question:

Are hemophilia clotting factors included in the IPPS rates for hospital inpatients?

Answer:

If a beneficiary is in a covered part A stay in a prospective payment system (PPS) hospital, the clotting factors are paid in addition to the MS-DRG payment. For hospitals subject to OPPS, the clotting factors, when paid under Part B, are paid the ambulatory payment classification (APC) rate.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.