Quick and Accurate
ReimbursementCodes (RC) Claim Assist is a standalone provider-facing website, securely accessible from your Payer’s provider/network portal.
A step-by-step intuitive process allows for HCPCS/CPT®, NDC or Drug Name search of the entire RC Claim Assist database in 3 easy steps.
Are you a pharmaceutical manufacturer?
RJ Health now offers a version of RC Claim Assist designed for pharmaceutical manufacturers. This tool will help reduce the chance of drug abandonment and ensure providers get paid accurately by avoiding common coding errors.
Learn More About RC Claim Assist
Use RC Claim Assist to:
- Help providers convert HCPCS/CPT® drug code units to NDC drug code units easily
- Convert NDC codes to NDC units by supplying HCPCS/CPT® code
- Reference AWP and WAC pricing for each HCPCS/CPT® code. Information is easily convertible to claim form and kept organized in drug cards
Additional Resources
White Paper
Insurer, Specialty Pharmacy Rely on Solutions from RJ Health to Price Drugs Correctly
As specialty pharmaceuticals consume an ever-larger share of healthcare benefit dollars, payers, providers and other healthcare organizations are realizing the importance of managing drugs administered under the medical benefit, which most often are specialty drugs.
DOWNLOAD THE WHITE PAPER
Thought Leadership
New HCPCS Codes for Generics
As if medical billing and coding wasn’t challenging enough, 2023 brings a new layer of complexity: the establishment of unique HCPCS codes for generic drugs. Specifically, the new codes affect generics approved under the FDA’s 505(b)(2) new drug application (NDA) and biologics license application (BLA) pathways.
READ THE FULL ARTICLESolutions for Your Drug Pricing and Coding Challenges
MMIT offers a variety of solutions designed specifically for drug pricing and coding.