In a press release last month, the Plasma Protein Therapeutics Association (PPTA) said it believes the Internal Revenue Services' issuance of temporary and proposed regulations implementing the annual pharmaceutical fee undermines patients with rare diseases and fails to take into account concerns e... [More]

The Plasma Protein Therapeutics Association (PPTA) encouraged the Centers for Medicare and Medicaid Services (CMS) to improve drug reimbursement under the Hospital Outpatient Perspective Payment System. [More]

Individuals who enroll in the federal Pre-Existing Condition Insurance Plan (PCIP) will no longer be denied coverage for pre-existing conditions. Do you understand the new law? [More]

The new International Classification of Diseases (ICD)-10 codes used for claims reimbursement go into effect January 2012. All healthcare practices will be financially impacted – are you prepared? [More]

A physician must certify a patient as homebound to qualify for in-home services. Current legislation requires a provider visit and written documentation to certify eligibility. [More]

Many argue that the current Medicare payment system results in more healthcare costs, but not better healthcare. Could the value-based purchasing system mandated by the healthcare reform help? [More]

Treating hemophilia patients can costs hundreds of thousands of dollars annually. Clearly, providers, patients, manufacturers, case managers and insurers are impacted by reimbursement. [More]

Medicare Part B covers 100 percent of the cost for some seniors’ vaccines. Yet rates of immunization among seniors remain suboptimal. From a reimbursement viewpoint, the problem is multifaceted. [More]

Insurance is somewhat like a layer cake. The more layers a cake has, the more expensive the event the cake is intended for. The more layers or tiers, an insurance policy has, the more expensive the copay. [More]

Intravenous immune globulin (IVIG) patients who receive infusions are often denied reimbursement by Medicare. Getting reimbursement depends on many factors that you should know about. [More]