Site of care: HOPD vs home infusion
Where one therapy is paid more each month: your hospital outpatient department or your home infusion pharmacy (not a Medicare home infusion therapy supplier). Medicare rates come from CMS; Apple Health supply and pump fees from the HCA schedule; EAPG, pharmacy, and contract amounts are yours and stay in this browser.
Examples
Disclaimer. This application provides informational coding and reimbursement reference data. It does not constitute legal, clinical, coding, or billing advice. Codes, payment amounts, payer rules, and coverage policies can change. Verify all information with current CMS publications, the applicable payer, and your organization’s compliance policies before submitting a claim. CodeRx is not affiliated with or endorsed by CMS, FDA, Medicare, or any payer.