ReimbursementCodes will crosswalk the three new G-Codes (professional services rendered on an infusion drug administration) to the corresponding J-Code. This was developed to support Home Infusion Therapy Providers with the new mandate. The Centers for Medicare & Medicaid Services (CMS) established on January 1, 2019.
THE NEW G-CODES ARE:
ReimbursementCodes partners with
Home Infusion Therapy Providers to:
Ease inventory setup
Assist Procurement/Contact Teams so that claims are paid appropriately
Help Pharmacists/Reimbursement determine Part B/D coverage
Validate NDC to J-Code crosswalk
Convert to NDC units
Verify ICD10 to validate FDA and compendia approved indications
Globally search all data based on product or drug name (HCPCS/CPT and NDC)
ReimbursementCodes is the most trusted, comprehensive suite of coding (HCPCS/CPT and NDC), pricing (AWP, WAC, ASP and CMAC) and clinical crosswalks (ICD10, Min/Max, and Part B/D) to accurately support reimbursement.
Your billing practices must change and your reimbursement will be impacted.
What is the coverage criteria for new G-codes used in Medicare claims involving transitional home infusion service payments?
Which day(s) of service, and which services, can be reimbursed using the G-codes?
What are the correct service codes for three classifications of drugs?