Pharmacy Question for the Week of November 6, 2017

Pharmacy Compliance Question of the Week

Question:

I am looking for Medicare billing instructions for calcimimetics delivered for AKI in an ESRD facility. Do you know where this information can be found?

Answer:

One place to find this answer is in transmittal 1941 (issued on October 27, 2017). In this one-time notification (OTN), the Centers for Medicare & Medicaid Services (CMS) provide details on its transitional drug add-on payment adjustment (TDAPA) policy for patients with acute kidney injury (AKI) who are treated in a hospital-based and freestanding end-stage renal disease (ESRD) facility. For this transmittal, go to https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2017Downloads/R1941OTN.pdf.

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.