Health Systems Urge Congress to Address Medicare Reimbursement for Home Infusion 

Dozens of health systems, hospitals, and group purchasing organizations are asking Congress to pass legislation to address Medicare reimbursement for home infusion services, reports Healthcare Finance. 

The Centers for Medicare and Medicaid Services improperly implemented the Bipartisan Budget Act of 2018, requiring a nurse to be physically present in the patient’s home for providers to be reimbursed, according to the National Home Infusion Association. 

In a letter sent to congressional leaders, health systems, hospitals and GPOs, representing more than 600 hospitals and over 5,000 sites of care across all 50 states, are urging lawmakers to pass the Preserving Patient Access to Home Infusion Act.

The bill provides technical clarifications that would remove the physical presence requirement, ensuring payment regardless of whether a healthcare professional is present in the patient’s home. The legislation includes essential pharmacist services in the reimbursement structure. Read more.

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