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10.1016/j.rse.2017.12.026 33 KulpS

As included in the APCM code descriptors, we are also proposing to specify for the Management of Care Transitions APCM service element that the care team/practitioner would follow up with the patient and/or caregiver within 7 days after each ED visit and hospital discharge

To determine unit counts for rebate calculations, at this time, in 427.303(b)(2), CMS proposes codifying our policy described in revised Medicare Part B Drug Inflation Rebate Guidance in section 50.8.2 to exclude billing units from claims with dates of service during a month within a calendar quarter when the Medicare beneficiary has Medicaid coverage that may provide cost-sharing assistance