ASP Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files - April 2020

MLN Matters Number: MM11701
Related CR Release Date: March 20, 2020
Related CR Transmittal Number: R10003CP
Related Change Request (CR) Number: 11701
Effective Date: April 1, 2020
Implementation Date: April 6, 2020

CR 11701 informs MACs about new and revised Average Sales Price (ASP) and ASP Not Otherwise Classified (NOC) drug pricing files for Medicare Part B drugs. The Centers for Medicare & Medicaid Services (CMS) supplies MACs with the ASP and NOC drug pricing files for Medicare Part B drugs on a quarterly basis. Payment allowance limits under the Outpatient Prospective Payment System (OPPS) are incorporated into the Outpatient Code Editor (OCE) through separate instructions that are available in Chapter 4, Section 50 of the Medicare Claims Processing Manual. Make sure your billing staffs are aware of these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)11701.

Last Updated Mar 23, 2020