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:2/27/2017)... ... February 27, 2017 , ... The threat of nuclear warfare has ... a company involved in the underground testing of nuclear weapons. Years later, when her ... Workers of the Cold War Nuclear Testing,” Clayton exposes the critical decisions made by ...
(Date:2/27/2017)... ... February 27, 2017 , ... POUGHKEEPSIE, N. Y. – ... disclosed that despite scientific studies, the Center for Disease Control ( CDC ) and ... . Kenneth B. Liegner, M.D. has compiled into a single volume a compelling ...
(Date:2/27/2017)... ... 2017 , ... New Jersey ranks among the top five states in the ... need for advanced services is growing. , Project WE vs C is a ... with their non-profit partners in their fight against cancer and in support of their ...
(Date:2/26/2017)... ... February 26, 2017 , ... LatitudeC Baby Products, an ... announced it would be offering some it’s exclusive product line to the public ... and unique baby clothing/feeding products, will team up with AMAZON to distribute a ...
(Date:2/26/2017)... Florida (PRWEB) , ... February 26, 2017 , ... ... of Parkinson’s disease (PD) in persons with a specific LRRK2 mutation, according to ... Congress. , Previous studies have provided evidence of a link between pesticides and ...
Breaking Medicine News(10 mins):
(Date:2/24/2017)... Feb. 23, 2017  Directors from Pharma To Market Pty Ltd ... joined forces, resulting in the founding of Pharma To Market Pte ... To Market are pleased to announce their expansion into ... Singapore . The company are delighted to appoint ... the Singapore based entity. Joelle brings with ...
(Date:2/24/2017)... 2017 Non-alcoholic steatohepataitis (NASH) Pipeline ... drugs being developed for the treatment of ... that are in various phases of development ... on novel pharmacologic drugs & regenerative medicines ... recombinant proteins and RNA-based therapeutics, but excludes ...
(Date:2/24/2017)... , Feb 24, 2017 ... Committee,s proposal for a new Board of Directors that ... The 2016-2017 Nomination Committee comprises representatives of the company,s ... quarter of 2016 who have accepted a seat on ... The composition of the 2016-2017 Nomination Committee was as ...
Breaking Medicine Technology: