tci Part B Insider - 2008 Issue 40

Physician Notes: Judge Shoots Down Medicare's Plan to Pay 'Least Costly Alternative' Therapy for COPD

Plus: Permanent RAC program on hold; CMS issues flu resources.Medicare will have to find another way to save money rather than limiting COPD payments, according to a new court ruling.A Nov. 4 New York Times article indicates that on Oct. 16, a federal judge ruled that Medicare can no longer use the "least costly alternative" to set payment rates for certain drugs. In this case, the judge found that certain Medicare carriers slashed payments for nebulizer drug Duo-Neb. However, the judge ruled, Medicare should heed the payment rates set by the government.In other news...• If...

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