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REPRMedicare will usually get the cheapest thing available

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Bob Stocks Member Profile Bob Stocks Member Level 
Saturday, June 23, 2012 7:40:06 PM
Re: Rawnoc post# 23816 Post # of 24440 
REPR
Medicare will usually get the cheapest thing available and i guess the Freedom 60 infusion fits the bill here. Or maybe you can chose a more efficient, reliable pump.

Is it true that Medicare will start denying claims for subcutaneous immune globulin (SCIG) as medically unnecessary if the provider bills for a pump that is not the least costly alternative (LCA)?

In June 2007, the Centers for Medicare and Medicaid Services (CMS) issued a statement that said the Freedom 60 infusion pump is the only allowable pump for the administration of SCIG therapy. Providers that choose to upgrade the pump to a more expensive option can do so and still attain partial payment that is no greater than the allowable amount for the Freedom 60 pump.


A few questions...
1.What are the advantages to receiving IV Immune Globulin compared to receiving it Subcutaneous?
2.What is the ratio of people receiving it IV compared to SC?
3.Would the cost savings be greater receiving it IV compared to SC?



Like I said they have nothing unique, nothing innovative like you said....i hope you pump it up though. I would short the piss out of it.

Cheers,

Bob


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