"The Medicare Part B Home Infusion Services Temporary Transitional Payment Act (HR 3163)" was introduced on July 6, 2017 by Congressmen Pat Tiberi (R-OH) and Bill Pascrell (D-NJ).
The legislation addresses a gap in reimbursement payments for home infusion services under Medicare Part B that was created by the December 2016 enactment of the "21st Century Cures Act (The Cures Act"). The bill, introduced in the House of Representatives, would create a temporary transitional payment beginning January 1, 2019, for services related to Part B Durable Medical Equipment (DME) infusion drugs.
The proposed bill will create a temporary payment for all home infusion services associated with Medicare Part B infusion drugs including nursing, which will allow Medicare beneficiaries to continue to access therapy in the home until the services payment in Section 5012 is implemented. There will be three payment categories, according to the drug that is being administered. Payment will be based on the rate a physician would receive for a five hour infusion. Additionally, if two drugs are administered in the home on the same day, the provider will receive a single service payment at the highest applicable rate.
NHIA will continue to work with Capitol Hill on technical adjustments to the legislation. HR 3163 is an important step in getting the reimbursement gap resolved. Providing this temporary and transitional payment will allow the home infusion community to continue to service the most fragile patients until the Centers for Medicare & Medicaid Services (CMS) finalizes the services payment included in "The Cures Act".
NHIA is working to ensure that the bill moves quickly through the legislative process as a standalone bill or attached to another Medicare vehicle.
Make Your Voice Heard
Reach out to Members of Congress
Get involved today! Ask your members of congress to co-sponsor the bill. Sending a letter will take less than two minutes.
Ask your Referral Sources to Participate in NHIA Medicare Access Survey
NHIA is conducting a survey of physicians, discharge planners, and other providers who coordinate or refer Medicare patients for home infusion services. The goal of the survey is to assess the impact of the Medicare coverage gap for both Medicare Part B and Part D on patient access to home infusion services. We ask that you forward the survey link to your referral sources, requesting their participation and reinforcing the importance of obtaining data that will help support our efforts to ensure patients have access to the infusion care they need and deserve. Get more details.
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