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[15] Cruz-Jimenez, L., Barrientos-Gutirrez, I., Zavala-Arciniega, L., Arillo-Santilln, E., Gallegos-Carrillo, K., Rodrguez-Bolaos, R., Gravely, S., & Thrasher, J
Section 11101 of the IRA adds new section 1847A(i) to the Act, which establishes a requirement for manufacturers to pay Medicare Part B rebates for certain single source drugs and biological products with prices that increase faster than the rate of inflation, beginning on January 1, 2023
), 99232 ( Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making
CMS proposes in 428.401(d)(1) that the preliminary reconciliation would include, at a minimum, the same information outlined for the Rebate Report and the following updated information, if applicable: updated total number of rebatable units, including updates submitted by a PDP or MA-PD plan sponsor and updates to 340B units (as applicable to the dates of service and applicable periods specified in proposed 428.203(b)(2)(i)(A) and (B)), or units otherwise excluded as specified in proposed 428.203(b)
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