ReimbursementCodes
Powerful Tool for Drug Claims and Reimbursement
- Identify Drug Pricing and Coding Updates: Stay up to date on changes to drug pricing, HCPCS codes, and reimbursement policies for therapies covered under the medical benefit.
- Reduce Errors in Coding and Claims Submissions: Minimize incorrect payments and claim denials by ensuring accurate coding and submission practices across reimbursement workflows.
- Simplify Rebates with Drug Unit Conversion Tools: Streamline rebate calculations using a single, reliable drug unit conversion tool to improve accuracy and efficiency.
- Complete HCPCS to NDC Crosswalks for Accurate Mapping: Ensure precise mapping between HCPCS and NDC codes to support claims processing, billing accuracy, and reimbursement alignment.
Improve Coding Accuracy and Reduce Reimbursement Errors
What Our Clients Are Saying
How We Can Help
We help your team streamline the creation, management, and publication of accurate reimbursement code content by centralizing code data and source references, reducing manual effort, and enabling more consistent and current code information for stakeholders involved in coverage and claims.
We help your team stay up to date on drug pricing and coding changes by centralizing reimbursement code data and source references, enabling timely updates and more consistent, accurate code information across pricing and coding workflows.
ReimbursementCodes helps reduce errors in claims processing and billing by providing accurate, up-to-date reimbursement code and pricing information, ensuring your team uses consistent data across all claims and billing workflows.
We help improve reimbursement outcomes and market access by ensuring accurate, up-to-date coding and pricing data, enabling faster claim approvals, fewer denials, and more consistent coverage across payers.
Key Insights From MMIT
MMIT’s ReimbursementCodes APIs Speed Claim Review and Reduce Overpayments
In this case study, learn how one plan saved at least $250K each year by moving to an automated, scalable claims review process.
Automating Fee Schedule Management
This case study explains how one regional payer leveraged MMIT’s Fee Scheduler solution to simplify methodology review, speed claim verification and improve workflow.
Add RJ Health to Your Strategy
Our industry standard data can answer your top business questions. Learn how our data files can help your team.
Solutions to Support Your Strategy
Enhance ReimbursementCodes with related solutions that provide broader visibility into payer dynamics, pricing trends, and access barriers. This enables your team to move from insight to confident, informed action.
Navigator
Navigator is the leading formulary management and publishing solution, enabling pharmacy teams to manage how drugs are covered and communicate that coverage clearly to providers and patients.
Medical Drug Lists
We provide an intuitive workflow application that enables health plans to manage and publish medical drug lists so providers can administer therapies and treatments with full transparency, minimizing claim denials and HCPCS to NDC conversion errors.