CMS "Pause" on Downcoding
CSRO has been working with the Center for Program Integrity (CPI) at CMS on the complex vs therapeutic coding and billing issue. CMS (CPI) is aware that, despite its technical direction to pause the "downcoding" of Cimzia® (J0717), Orencia® (J0129), Simponi Aria® (J1602), Stelara® (J3358), and Prolia® (J0897), the MACs continue to reject claims when the complex administration codes are submitted. They are looking into why this is happening and CSRO will send an update once additional information is known. READ MORE
Stay in the know with CSRO!
Receive updates about relevant legislation and advocacy efforts, along with our current events and news - sign up now.
State Society Advocacy Conference
Register to join like-minded individuals this September to learn, network, and strategize at our flagship event, featuring keynote speaker Dr. Damon Tweedy!
Legislative Map Tool
Click on your state to learn about current policy that can or is impacting the rheumatology community.
