Navigation Links
ACM Helps Medicaid Programs Comply With Federal Deficit Reduction Act Mandates
Date:9/24/2007

MINNEAPOLIS, Sept. 24 /PRNewswire/ -- When the Deficit Reduction Act of 2005 (DRA) goes into full effect January 1, 2008, state Medicaid programs must demonstrate compliance with the requirement to collect National Drug Codes (NDCs) on physician-administered drugs or risk losing federal funding.

Under tremendous pressure to implement the required changes over the next 60 - 90 days, some states already are requiring providers to submit NDCs for single-source drugs. However, as CMS Director Dennis G. Smith's letter to state Medicaid directors noted, "states have encountered difficulty in linking procedure codes for multiple source physician-administered drugs to a single NDC number for the purpose of billing for rebates, as there may be several NDC numbers linked to a single HCPCS J-code."

"Converting generic HCPCS codes (J-codes, S-codes, CPTs) to more precise NDCs can be challenging -- and costly," commented Gary A. Loeber, R.Ph., ACM's Executive Vice President of Business Development. "This is especially true given the emergence of new specialty drugs, generics, and shifting sites of care where drugs are now commonly administered by healthcare professionals in the home, MD office, or clinic."

"The inefficiencies inherent in the HCPCS system also have become more apparent as the demand for accurate pricing and reporting have exceeded the system's capacity," Loeber added. "For example, based on ACM's analysis, paying claims using HCPCS coding can add as much as $.49 per member per month."

This area of cost containment is where ACM has been helping clients generate results for over a decade. Capitalizing on ACM's proprietary NDC to HCPCS integrated crosswalk solution, the MedRxPrecision(SM) program adds automated pricing precision to claims processing, drug edits to prevent excessive quantities, comprehensive reporting for rebate capture, and improved administrative efficiencies. As the January 2008 deadline approaches, ACM's capabilities can help states meet DRA mandates, maintain a stable flow of federal funds, and continue providing essential services to Medicaid beneficiaries.

About ACM

A healthcare benefits management company, ACM delivers next generation decision support tools to manage authorizations, claims processing technology for pricing precision, nationally-recognized patient care programs, and first-class provider network services. Covering over 40 million lives for the nation's largest health plans and payers, Minneapolis-based ACM is URAC-accredited for health utilization management and holds full accreditation by EHNAC.

http://www.ACMcentral.com.


'/>"/>
SOURCE ACM
Copyright©2007 PR Newswire.
All rights reserved

Related medicine news :

1. Antibiotics Helps Autism
2. Serum Progesterone Helps Stratify Ectopic Pregnancy Risk
3. Sperm washing helps couples – Breakthrough in focu
4. Patient’s perception of health status helps in better recover
5. New vaccine helps allergy and asthma patients
6. New vaccine helps allergy and asthma patients
7. Now umbilical cord helps in stroke treatment.
8. Spirituality helps lessen arthritic pain
9. New drug helps boost cancer treatment
10. Transplant helps diabetes
11. Integrin helps healing process in cells
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/11/2016)... ... 11, 2016 , ... "What holds you back from ... a question as a challenge for his readers to examine the full scale ... (published by Partridge Singapore), Clarke explores the subject with more depth, revealing time-honored ...
(Date:2/11/2016)... , ... February 11, 2016 , ... ... of a master charity program created to assist the people of their local ... closely with nonprofit organizations and community leaders. Their hope is to bring awareness ...
(Date:2/11/2016)... ... February 11, 2016 , ... Talix today announced ... , will be presenting at the 2016 HIMSS Annual Conference & Exhibition, taking ... During his session, “ Coding for Care: Using Data Analytics for Risk Adjustment ...
(Date:2/11/2016)... ... 11, 2016 , ... The annual list showcases the 20 Most Promising SharePoint ... dedication and commitment to the SharePoint ecosystem. A panel of experts and members ... is to recognize and promote technology entrepreneurship. , The survey was made at ...
(Date:2/11/2016)... D.C. (PRWEB) , ... February 11, 2016 , ... ... will be exhibiting at the American Academy of Dermatology Annual Meeting at the ... USA's goal is to raise awareness for both the condition of hyperhidrosis (excessive ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... , Feb. 11, 2016 Stem cells ... are characterized by self-renewal and the capacity to differentiate ... relatively new discovery, as the first mouse embryonic stem ... was not until 1995 that the first culturing of ... stem cells were not produced until 2006 As a ...
(Date:2/11/2016)... YORK , Feb. 11, 2016 ... instruments commonly used in laboratories. These may range from ... condensers. Laboratory glassware is made from borosilicate glass because ... Laboratory plasticware, on the other hand, started gaining popularity ... it was easier to replace glass with plastic in ...
(Date:2/11/2016)... 2016  Walgreens has committed to provide drug disposal ... Washington, D.C. as part of a program ... by shareholder advocacy organization As You Sow. Conrad ... people hold on to unneeded drugs because they lack easily ... --> Conrad MacKerron , Senior Vice President ...
Breaking Medicine Technology: