Roberta L. Buell is a Principal at onPoint Oncology Inc., specializing in oncology reimbursement. With over 23 years of experience in billing, coding, and drug therapy reimbursement, she's a nationally recognized expert and frequent speaker on regulatory and reimbursement issues. Bobbi has led more than 600 seminars since 1991 and currently serves as content director for focalPoint® and assistPoint®. Learn more about Bobbi here .
CMS finalizes 2026 Medicare Advantage and Part D rule: no AI limits or obesity drug coverage, but IRA updates, D-SNP changes, and a 5.06% payment increase remain.
CMS proposes 2.4% hospital pay increase for FY 2026, updates to quality programs, and ends equity measures. Read key IPPS rule changes and hospital impacts.
Explore key 2025 NCD code updates, including new CPT, HCPCS, and ICD-10 codes for CAR-T, bariatric surgery, colorectal screening, and more. Effective April 21.
Q2 2025 Hospital Outpatient drug updates: new pass-through HCPCS codes, deletions, status changes, and descriptor revisions effective April 1. Full list here.
Telehealth coding for 2025: Medicare keeps old rules, deletes audio-only codes, and adopts 98016. Learn which codes apply and how to handle commercial payer variance.
No Medicare doc fix in 2025, but telehealth and other flexibilities extended through Sept. 30. Key funding and policy provisions outlined in new appropriations law.
Key 2025 healthcare updates: orphan drug waste fees, PBM lawsuits, AI claim denials, DEA telehealth rules, ICD-10 changes, and Medicare Advantage probes.
Category III CPT codes track emerging tech and procedures. Learn when to use them, how they’re reimbursed, and why they may lead to future Level I code approval.
CMS clarifies complex drug administration coding for 2025: new guidance outlines when to use CPT 96401–96549 based on risk, monitoring, and staff expertise.
See the Q2 2025 HCPCS drug code updates effective April 1, 2025—new, deleted, and revised codes for Medicare billing. Full list available on BuyandBill.com
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The Comparative Report puts ASP, the Medicare payment limit, WAC and AWP for up to 15 drugs on one timeline. Ten-plus years of monthly history, per HCPCS unit.
Included with BuyandBill Pro for $37/month billed annually.
Trastuzumab class, seven products
Actual published ASP, Jan 2015 to Aug 2026.
