Infusion Policy Updates

Infusion Policy Updates

Coverage and reimbursement policies for infusion services continue to evolve. This session reviews recent CMS updates affecting home and alternate-site infusion providers, including changes to coverage policy, competitive bidding, DMEPOS enrollment and accreditation requirements, and Medicare Advantage plan obligations. Attendees will also hear updates on emerging drug coverage questions, legislative developments, and practical coding resources to help providers stay compliant and prepared for what’s ahead.
Coverage and reimbursement policies for infusion services continue to evolve. This session reviews recent CMS updates affecting home and alternate-site infusion providers, including changes to coverage policy, competitive bidding, DMEPOS enrollment and accreditation requirements, and Medicare Advantage plan obligations. Attendees will also hear updates on emerging drug coverage questions, legislative developments, and practical coding resources to help providers stay compliant and prepared for what’s ahead.

Learning Objectives

  • Identify key CMS policy updates including accreditation frequency updates, DMEPOS enrollment moratoria, and supplier-type considerations for home infusion pharmacies.
  • Describe recent changes to DMEPOS policies including External Infusion Pump (EIP) coverage.
  • Learn about how to access and utilize new NHIA resources including the NHIA drug lists coding crosswalk and state legislation tracker.
  • Speaker(s)

    Bill Noyes n/a SVP of Reimbursement Policy
    NHIA

    Shea McCarthy  Director of Legislative Affairs
    NHIA/ Thorn Run Partners

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