Category Archives: ReimbursementCodes

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices -New Clinical and Billing Information CMS News -New HCPCS® Codes Effective April 1, 2021 Now Available -New HCPCS® Codes Adds, Deletes and Revisions Effective April 1, 2021 Now Available -Quarterly ASP (Average Sales Price) File Released -Hospital OPPS (Outpatient Prospective Payment System) Update -April 2021 NOC […]

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices -New Clinical and Billing Information CMS News -New HCPCS® Codes Effective April 1, 2021 Now Available Clinical News CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases each month and detail the rationale for the […]

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices -New Clinical and Billing Information CMS News -New CPT® Codes Now Available for COVID Vaccines Clinical News -Spravato® Code Price Update CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases each month and detail the […]

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices -New Clinical and Billing Information CMS News -New, Revised, and Deleted HCPCS® Codes Now Available -New CPT® Codes Now Available -Quarterly ASP (Average Sales Price) Pricing File Released -January 2021 NOC (Not Otherwise Classified) Pricing File -Hospital OPPS (Outpatient Prospective Payment System) Update Clinical News CODE […]

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices -New Clinical and Billing Information CMS News -2021 HCPCS® File -Coronavirus Vaccines and Treatment Response Clinical News CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases each month and detail the rationale for the change. […]

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices New Clinical and Billing Information CMS News Clinical News CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases each month and detail the rationale for the change. Of the 63 AWP Drug Code Price changes […]

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices New Clinical and Billing Information Clinical News 2020-2021 Influenza Vaccine Season NDCs Now Available J7304 Updated to NDC Level Pricing CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases each month and detail the rationale […]

A few of RJ Health’s subject matter experts held webinar sessions to talk about controlling medical drug spend as well as the different challenges a pharmaceutical organization may run into when launching or updating a drug. Full recordings of the sessions are now available. Choose a session below:

The following questions were submitted by attendees during the most recent Quarterly Drug Coding, Reimbursement, and Pipeline Update Webinar for Q3 2019. or      Q:  On the “Pricing Updates” slide it shows that the majority of Code Price changes were increases, but the Medicare Allowable ASP price changes showed a majority which were decreases. Why […]

INSIDE THIS ISSUE CMS News 2019-2020 Influenza Vaccine Season NDCs Now Available New HCPCS Drug Q-Codes effective October 1, 2019 New HCPCS Drug J-Codes effective October 1, 2019 New HCPCS Drug Code Revisions and Discontinuations effective October 1, 2019 Drug Reimbursement Code Price Updates 48 Drug Codes required a recalculation of their AWP Code Price Drugs/Devices […]