How to bill Medicare Part B for insulin with new limits on coinsurance
Effective Mar 2, 2023
Published Mar 6, 2023
Last Reviewed Mar 2, 2023
On Feb. 13, CMS published an MLN Fact Sheet regarding billing procedures for insulin following the new regulation that limits the Part B coinsurance for a month’s supply of insulin at $35. CMS is instructing providers not to bill for supplies for insulin for July 2023 or subsequent months in advance of July 2023 to ensure patients aren’t charged more than the $35 maximum allowed for that month.
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