TALK INFUSION: Prepare for 2023: Regulatory and Reimbursement Updates

NHIA’s Connie Sullivan and Bill Noyes will focus on recent rules and regulations that members need to be aware to incorporate into their operational plans, billing and coding procedures, and advocacy efforts.

Pertinent topics will include:

• 2023 Medicare rate adjustments for various provider/supplier types
• Administrative simplification – Medicare is eliminating the DIF for IV/PEN items
• Medical unlikely edits (MUE) updates – Hizentra and PN lipids
• Use of the new JZ modifier
• Public Health Emergency (PHE) – timing and how it effects COVID-19 monoclonal coverage
• Inflation Reduction Act effects on Part D POO costs in 2024

NHIA will recap recent private payor advocacy efforts, including takeaways from its first Payor Summit and efforts to Modernize the HCPCS code set.

We will also cover the latest updates to the Preserving Patient Access to Home Infusion Act.