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CMS pressed on Part D reimbursement again
Modern Healthcare

Prescription drug plan sponsors do not have access to data that would ensure reimbursement is limited to a drug’s medically accepted indications, according to HHS‘ inspector general’s office.

A report released today (PDF) found that among the three prescription drug plan sponsors interviewed in 2011, none collect diagnosis information unless using prior authorization because the data is not required for Medicare Part D claims.

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