2006 proposed fee schedule - American Society of Clinical Oncology
2006 proposed fee schedule - American Society of Clinical Oncology 2006 proposed fee schedule - American Society of Clinical Oncology
Subpart B--Physicians and Other Practitioners 20. Section 414.65 is amended by revising paragraph (a)(1) to read as follows:. §414.65 Payment for telehealth services (a) * * * (1) The Medicare payment amount for office or other 378 outpatient visits, consultation, individual psychotherapy, psychiatric diagnostic interview examination, pharmacologic management, end stage renal disease related services included in the monthly capitation payment (except for one visit per month to examine the access site), and individual medical nutrition therapy furnished via an interactive telecommunications system is equal to the current fee schedule amount applicable for the service of the physician or practitioner. * * * * * 21. Section 414.802 is amended by adding definitions of “direct sales” and “indirect sales” to read as follows: §414.802 Definitions * * * * * Direct Sales means sales directly from the manufacturer to the provider (for example, physician or other health care provider) or supplier. * * * * *
Indirect Sales means from the manufacturer to a wholesaler, distributor, or similar entity that sells to others in the distribution chain. Indirect sales also include any sale subject to the average sales price reporting requirement that is not a direct sale. * * * * * 22. Section 414.804(a) is amended by: A. Redesignating paragraphs (a)(3), (a)(4), (a)(5), and (a)(6), as paragraphs (a)(4), (a)(5), (a)(6), and (a)(7). B. Adding a new paragraph (a)(3). C. Revising newly redesignated paragraph (a)(4). The redesignations and revisions read as follows: §414.804 Basis of payment. (a) * * * (3) In calculating the manufacturer’s average sales price, a manufacturer must-- sales; sales; and (i) Calculate the average sales price for direct (ii) Calculate the average sales price for indirect (iii) Calculate the weighted average of the results 379 from paragraphs (a)(3)(i) and (a)(3)(ii). Example. [(ASP for direct sales X direct sales units) + (ASP for indirect
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Indirect Sales means from the manufacturer to a<br />
wholesaler, distributor, or similar entity that sells to<br />
others in the distribution chain. Indirect sales also<br />
include any sale subject to the average sales price<br />
reporting requirement that is not a direct sale.<br />
* * * * *<br />
22. Section 414.804(a) is amended by:<br />
A. Redesignating paragraphs (a)(3), (a)(4), (a)(5),<br />
and (a)(6), as paragraphs (a)(4), (a)(5), (a)(6), and<br />
(a)(7).<br />
B. Adding a new paragraph (a)(3).<br />
C. Revising newly redesignated paragraph (a)(4).<br />
The redesignations and revisions read as follows:<br />
§414.804 Basis <strong>of</strong> payment.<br />
(a) * * *<br />
(3) In calculating the manufacturer’s average sales<br />
price, a manufacturer must--<br />
sales;<br />
sales; and<br />
(i) Calculate the average sales price for direct<br />
(ii) Calculate the average sales price for indirect<br />
(iii) Calculate the weighted average <strong>of</strong> the results<br />
379<br />
from paragraphs (a)(3)(i) and (a)(3)(ii). Example. [(ASP<br />
for direct sales X direct sales units) + (ASP for indirect
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