Current CPT coding (CPT 96202 and 96203) allows for multiple-family group behavior management/modification training services, meaning that this caregiver training service can only be furnished in a group setting with multiple sets of caregivers of multiple beneficiaries (please reference 88 FR 78818 for discussion of CPT 96202 and 96203)
Read this article by the Mayo Clinic for additional tips
CMS understands that this approach would treat missing units for NDCs not marketed or sold during the applicable calendar quarter, negative units, and zero units as representing zero sales, and we welcome comments on the extent to which this approach could potentially exclude from rebate liability a manufacturer of a drug that did have sales in that quarter (for example, if negative units represent price concessions)
To calculate the reduced total rebate amount for a Part D rebatable drug, in 428.301(b)(1), CMS proposes the following formula: Reduced Total Rebate Amount = the total rebate amount multiplied by (1 minus applicable percent reduction) multiplied by (percentage of time drug was currently in shortage during the applicable period) added to the total rebate amount multiplied by (1 minus percentage of time drug was currently in shortage during the applicable period) For the purpose of this formula, for a Part D rebatable drug that is a generic drug or a plasma-derived product, in 428.301(b)(2)(i), CMS proposes an applicable percent reduction of 75 percent for the first applicable period such Part D rebatable drug is currently in shortage, 50 percent for the second applicable period, and 25 percent for each subsequent applicable period
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