Pharmacy Question for the Week of May 29, 2017

Pharmacy Compliance Question of the Week


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


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.

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