RESOLVED: Correcting 340B Drug Rates

Correcting 340B Drug Rates
Current Status
Date
 
Resolved
07/30/2020
Status: Resolved 05/12/2020. All affected claim adjustments have been processed.
Initial
04/30/2020
Status:
Adjustments will be made on claims that were overpaid prior to the implementation of the restatement file released into the production environment, based on the following criteria:
 
  • Type of Bill (TOB) 013x OPPS claims
  • A line item date of service (LIDOS) of 1/1/2020 or after
    • HCPCS modifier JG for several 340B HCPCS codes  
    • Processed date prior to the installation of the January 2020 restatement file into production