(i) If a manufacturer believes there are multiple events causing severe supply chain disruptions during the same applicable period for the same generic Part D rebatable drug or biosimilar and submits multiple rebate reduction requests for the same drug or biosimilar, CMS will grant no more than 1 rebate reduction under paragraph (b)(1) or (2) of this section for that product for the applicable period
Consideration of Dental Services That May Be Inextricably Linked to Covered Services for the Treatment of Hemophilia As stated in their report, hemophilia is a rare inherited disorder characterized by the deficiency or absence of blood-clotting proteins, affecting approximately 20,000-33,000 males in the U.S
Updating these calculation inputs at a regular reconciliation interval will result in a rebate amount that more fully reflects the majority of shifts in the underlying data following additional time for claims run-out, which refers to the maturation of claims in the claims processing system
The RUC, using the Practice Expense subcommittee recommendations, also recommended to CMS that a camera and microphone should be considered typical in the computer contained in the indirect overhead expense. This determination is consistent with CMS' longstanding position that items that are not specifically attributable to the individual services should not be included for valuation of specific codes
