Second, we estimate Non-Health Staff Employee Benefit costs by multiplying the Non-Health Staff Wages and Salaries costs (step one) by the overall employee benefit share as described in section III.B.7.(c)(1)(b), or 21 percent
We are proposing to change the code descriptor for HCPCS code G2069 to take out references to a weekly bundle to make it clear that the code is to be billed on a monthly basis
We are proposing to codify that in cases where negative or zero manufacturer's ASP data is reported for some, but not all, NDCs of a single source drug that is not a biosimilar, we would calculate the payment limit using the positive manufacturer's ASP data reported for the drug
Population-based cost measures, such as the Total Per Capital Cost (TPCC) and Medicare Spending per Beneficiary (MSPB) measures, could be used in such an MVP
CMS notes that few Part B drugs and biological products are billed with such codes and the quarterly process for updating billing and payment codes, including establishing new billing and payment codes, provides an existing mechanism for CMS to minimize the number of Part B rebatable drugs that are billed with such codes
