Improving Claim Submission Accuracy Starts with Provider Engagement through Greater Transparency: A Case Study on NDC Mandates

A recent RJ Health claims analysis revealed confusion from providers on what is needed to meet NDC unit mandates.

 

Learn more in RJ Health’s latest white paper: “Improving Claim Submission Accuracy Starts with Provider Engagement through Greater Transparency” by: Todd Cooperman PharmD, MBA, R.Ph. Senior Vice President, Clinical Insights and Analytics & Cristina Arnold BSN, RN Senior Vice President, Sales and Market Development

 

We examine:

  • Why payment policy is needed

  • What is required under these policies

  • The evolution of NDC mandates

  • The causes of claim denials

  • The benefit additional tools and data and provide

 

Read more to learn about analyses conducted by RJ’s Clinical Insights and Analytics Team. Findings include:

  • The frequency of errors in submitted drug claims

  • Effects of proper claim preparation

  • The therapeatic classes with the most HCPCS to NDC conversion errors

 

Some of the most expensive drugs and treatments are administered within a provider’s office. The need for full transparency is greater than ever before.

 

Download the white paper now: