What type of drug administration involves drugs provided on an outpatient basis and not covered by Medicare?

Self-administered drugs refer to medications that patients take on their own, typically in an outpatient setting, without needing direct oversight from healthcare providers during the administration process. These drugs are frequently prescribed for ongoing conditions and are used by patients in their home environment.

Medicare does not cover certain self-administered drugs due to regulations that categorize them as non-covered outpatient drugs. This often includes lower-cost medications that are commonly administered outside of a clinical setting, highlighting the distinction between drugs that require professional supervision and those that can be managed independently by patients.

Understanding this classification is crucial for healthcare professionals dealing with revenue integrity, as it relates to billing and reimbursement processes. It’s essential for them to be aware of which medications fall under this category to guide patients accordingly and maintain compliance with Medicare rules.