How do Units of Measure Affect Pricing on a Specialty Drug Claim?

In a review of Medical Pharmaceuticals claims, over 30% submitted with an NDC had an incorrectly mapped HCPCS/CPT® Codes and/or improperly reported NDC units.

These errors may lead to miscalculated reimbursement rates, denied claims and a rise in claim appeals / manual intervention.

Join RJ’s Product and Clinical teams as they walk through the different units of measure as they relate to drug codes and claims, via clips from the webinar “Solving for Incorrectly Mapped NDC to HCPCS/CPT Codes and Improperly Reported NDC Units.” In the following clip, Chris Webb explains the main difference between HCPCS and NDC code level reimbursement.

All past RJ webinars are viewable on-demand here: rjhealth.com/webinars.

How do Units of Measure Affect Pricing? – Webinar Segment

To watch this full webinar: “Solving for Incorrectly Mapped NDC to HCPCS/CPT® Codes and Improperly Reported NDC Units,” click here.

Learn why different pricing methods exist, how they are different, when each is used, and how they impact reimbursement. We also cover how NDCs are linked and crosswalked to HCPCS codes.

More webinar segments here.

Hosted by:

Christopher Webb, CPhT
Director, Product Development


Read white papers, view specialty drug pipeline reviews, and watch more webinars:

RJ Health Resource Library