Medicare Part B Drugs & Biologicals Series (Part 6) Self Administered Exclusions and Free of Charge
Автор: NGSMedicare.com
Загружено: 2025-09-17
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Join us for part six of our seven-part series on Medicare Part B Drugs and Biologicals.
The Medicare Part B Drugs and Biologicals series includes these seven videos:
• Part One: Medicare Part B Drug Coverage & Reimbursement
• Part Two: General Billing Reminders and Guidelines
• Part Three: Vaccinations and Administration
• Part Four: Clinical Trials
• Part Five: NOC & Compound Drugs
• Part Six: Self-Administered & Free of Charge Drugs
• Part Seven: Reporting Waste w/ the JW and JZ modifiers
In this video the focus is on self-administered drug (SAD) exclusions and free-of-charge drugs.
We will define and provide an overview and examples of each topic to assist providers with billing non-payable drug situations on the CMS-1500 claim form.
Related Resources:
• CMS IOM Publication 100-02, Medicare Benefit Policy Manual Chapter 15, Section 50.2 Determining Self-Administration of Drug or Biological (https://www.cms.gov/regulations-and-g...)
• Medicare Coverage Database (https://www.cms.gov/medicare-coverage...)
• A53020 - Process for Determining Self-Administered Drug Exclusions – Medical Policy Article
• A53021 - Self-Administered Drug Exclusion List: Medical Policy Article
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