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	<title>reimbursement@wiki</title> 
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		<item>
		<title>
			 <![CDATA[ Hospital Outpatient Setting ]]> 
		</title>
		<description>
			<![CDATA[ 
A hospital outpatient, for Medicare purposes, is defined in section 3112.1
of the Medicare Intermediary Manual and Section 230.1 of the Medicare Hospital
Manual as a person who has not been admitted by the hospital as an inpatient
but is registered on the hospital records as an outpatient and receives
services (rather than supplies alone) from the hospital.
Medicare Manuals
Coding

Changes to
Coding and Payment for HOP DrugAdministration [PDF] -
dated16 December 2005 / effective 03 January 2006


 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/Hospital%20Outpatient%20Setting
		</link>
		<pubDate>Thu, 04 Sep 2008 03:05:58 +0000</pubDate>
	</item>
		<item>
		<title>
			 <![CDATA[ Combination_Products ]]> 
		</title>
		<description>
			<![CDATA[ 
 

A
Pricing Strategy for Combination Products (Medical Device
Link, May/June 2004)

 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/Combination_Products
		</link>
		<pubDate>Wed, 03 Sep 2008 03:19:35 +0000</pubDate>
	</item>
		<item>
		<title>
			 <![CDATA[ Medical_Devices ]]> 
		</title>
		<description>
			<![CDATA[ 
Regulation

FDA
Center For Devices and Radiological Health Consumer Resources
(Possibly the best straightforward introduction to the
regulation of medical devices.)
Humanitarian Device Exemptions (HDE) Regulation (Questions and Answers Final Guidance for Industry.)

Primer on Medical Device Regulation

Reimbursement
 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/Medical_Devices
		</link>
		<pubDate>Wed, 03 Sep 2008 03:16:54 +0000</pubDate>
	</item>
		<item>
		<title>
			 <![CDATA[ Laboratory ]]> 
		</title>
		<description>
			<![CDATA[ 
Genetic Tests



Biogenetic Tests Emerge From Their
Chrysalis.  As technology improves,
barriers to payment are beginning to fall for costly diagnostic tests that may
identify good candidates for even pricier therapies. (Biotechnology
Healthcare, October 2007)




 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/Laboratory
		</link>
		<pubDate>Wed, 03 Sep 2008 01:59:54 +0000</pubDate>
	</item>
		<item>
		<title>
			 <![CDATA[ Menu ]]> 
		</title>
		<description>
			<![CDATA[ ==menu==
* [[FrontPage]]
* [[Menu]]
----
==recent list 20 ==
@@recent(20)@@
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 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/Menu
		</link>
		<pubDate>Wed, 03 Sep 2008 01:35:25 +0000</pubDate>
	</item>
		<item>
		<title>
			 <![CDATA[ Reimbursement ]]> 
		</title>
		<description>
			<![CDATA[ 
Reimbursement Strategies
Articles


Reimbursement Strategy (What Early Stage Life Sciences Companies Need to Know
AboutMedicareCoverage and Reimbursement), 13 September 2006

Develop a clear roadmap early on
Design trials with payers in mind
Develop robust clinical and economic stories
Build relationships with key payers
Build relationships with docs
Engage with developers
ofguidelines,technologyassessment,systematic reviews
Review and adjust as environment shifts



Reimbursement Guides
Coding
Pharmaceutical Pricing

CBO -- 
PrescriptionDrug Pricing in the Private Sector
(January2007)
Piper Report -- Should Federal Government Negotiate
Prescription Drug Prices in Medicare:Emotions vs. Economics, Politics vs.
Facts (December 9, 2006)
Manhattan Institute -- The HumanCost of Federal Price Negotiations: The Medicare Prescription
Drug Benefit andPharmaceutical Innovation (November2006)
Health Affairs -- Prescription drug prices: why do some pay more than others
do?(March/April 2001)

 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/Reimbursement
		</link>
		<pubDate>Wed, 03 Sep 2008 01:29:38 +0000</pubDate>
	</item>
		<item>
		<title>
			 <![CDATA[ 2005 Rules ]]> 
		</title>
		<description>
			<![CDATA[ 
Proposed
Rules

2006 HOPPS Proposed Changes and Calendar
Year 2006 Payment Rates - 25 July 2005


BIO comments - 16
September 2005


2005 Physician Fee Schedule Payment
Policies Revision (Correcting Amendment) [Plain
text | PDF | Local Copy] - 01 April 2005

Summaries &amp;amp; Analyses


2006 Competitive Acquisition Program
Proposed Rules [Plain text | PDF | 
Local copy	] - 04
March 2005

Final Rules

2006 HIPPS Final
Rule [Plain text | PDF | 
Local copy	] - 12
August 2005
2006 Medicare Advantage Final
Rules [Plain text | PDF | 
Local copy	] - 28
January 2005
2006 Part D Final
Rules [Plain text | PDF | 
Local copy	] - 28
January 2005

	
 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/2005%20Rules
		</link>
		<pubDate>Tue, 02 Sep 2008 18:50:21 +0000</pubDate>
	</item>
		<item>
		<title>
			 <![CDATA[ Government_and_Legislation ]]> 
		</title>
		<description>
			<![CDATA[ 
LEGISLATION
DRA (Deficit Reduction Act of 2005) - 8 Feb 2006


Sections 6001, 6002, and 6003
Proposed
rules implementing the DRA drug pricing policies

CMS' fact sheet on the
proposed rules


Overviews

OIG recommendations
to the HHS Secretary on DRA implementation issues (useful background
information)
DRA Drug
Pricing Changes in a Nutshell (Piper Report)
Kaiser Family Foundation overview



MMA (Medicare Modernization Act) - 8 Dec 2003
GENERAL GOVERNMENT LINKS

United States
Code
Code of Federal
Regulations
Federal
Register
Social Security Act - Health Insurance for the Aged and Disabled

 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/Government_and_Legislation
		</link>
		<pubDate>Tue, 02 Sep 2008 18:43:15 +0000</pubDate>
	</item>
		<item>
		<title>
			 <![CDATA[ Managed Care ]]> 
		</title>
		<description>
			<![CDATA[ 
P&amp;amp;T Committees


Do
P&amp;amp;T Panels Need Cost Data? Some say prices are a distraction;
others believe the committee cannot do its job without them.


 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/Managed%20Care
		</link>
		<pubDate>Tue, 02 Sep 2008 14:35:38 +0000</pubDate>
	</item>
		<item>
		<title>
			 <![CDATA[ Evidence-Based Medicine ]]> 
		</title>
		<description>
			<![CDATA[ 
Medicare


(attached)
Implementing Evidence-Based Medicine Through Medicare Coverage
Decisions, Health Affairs (November/December
2007)


 
 ]]> 
		</description>
		<link>
			http://reimbursement.atwiki.com/page/Evidence-Based%20Medicine
		</link>
		<pubDate>Fri, 29 Aug 2008 19:21:48 +0000</pubDate>
	</item>
	

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