CMS Solicits Comments to Clarify Parameters on MAC Downcoding of Complex Drug Administration Infusion Services

In the proposed CY 2025 Physician Fee Schedule (PFS) published in the Federal Register on July 31, the Centers for Medicare & Medicaid Services (CMS) is soliciting comments on a proposal to revise the Medicare Claims Processing Manual (Manual) to better reflect the complexities of furnishing and billing non-chemotherapeutic drug administration infusion services and provide complex clinical characteristics for the Medicare Administrative Contractors (MACs) to consider as criteria when determining...
By: Bass, Berry & Sims PLC