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| Medicare Part B Competitive Acquisition Program (CAP) - CAP Claims Submission Deadlines and Unused CAP DrugsIn preparation for the 2009 CAP postponement, the following is a reminder about upcoming CAP deadlines. It is very important that participating CAP physicians understand and comply with these deadlines because failure to do so will affect physicians' ability to be reimbursed. CAP Drugs Administered during 2008All CAP drug claims must have a date of service on or before December 31, 2008, and physicians' corresponding CAP drug administration claims must be submitted on or before January 30, 2009. CAP drug claims for dates of service after December 31, 2008 will be denied. CAP drugs that have not been administered by December 31, 2008 are the property of the Approved CAP Vendor. CAP Drugs NOT Administered by December 31, 2008 CAP physicians must return any unused CAP drugs to the Approved CAP Vendor by February 28, 2009. CAP drugs are the property of the Approved CAP Vendor. Therefore, physicians who have not returned these drugs to the Approved CAP vendor on or before February 28, 2009 will be liable for the cost of drugs. Please note that CAP physicians may contact the Approved CAP Vendor to discuss the option of purchasing unused CAP drugs. Emergency Restocking of CAP Drugs for Dates of Services on or before December 31, 2008 When permitted under the emergency restocking provisions, physicians may submit a prescription order for a CAP drug to replace what they used from their own stock (the emergency restocking provision). Physicians may request replacement drugs ONLY if the date of service is on or before December 31, 2008, AND the corresponding drug administration claim has been submitted on or before January 30, 2009.Physicians must request replacement drugs by January 30, 2009.The Approved CAP Vendor will not send replacement products under the CAP emergency restocking provision (J2 modifier claims) after February 28, 2009.CAP physicians who have not submitted a prescription order and a request for replacement drugs under the emergency restocking provision as described above will not be able to bill Medicare under the ASP system for the CAP drugs that they administered on or before December 31, 2008 from their private stock. What should you do to prepare?Physicians who are participating in the CAP during 2008 are encouraged to contact the Approved CAP Vendor and reconcile their inventories as soon as possible. Contact information for the Approved CAP Vendor, BioScrip, is available on their website at www.bioscrip.com.Additional information on the 2009 CAP Postponement is available on the Centers for Medicare and Medicaid Services website at: http://www.cms.hhs.gov/CompetitiveAcquisforBios/01_overview.asp |
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