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Reimbursement
Newsletter

RJ Health provides insight into new drugs and devices, code price updates and more as it applies to medically covered drugs.

Specialty Drug Reimbursement Newsletter | April 2023

RJ Health, an MMIT company, delivers industry standard specialty drug pricing, coding and reimbursement solutions to support payer and provider alignment.   

Every month, our team evaluates a variety of pricing and coding updates. In the December edition of the Specialty Drug Reimbursement Newsletter, we identified 56 drug code price changes this month, with 22 of them being price decreases. We have also identified drugs to be added or updated within our database. Preview some of these insights below:  

This month, during our review of the 3554 Reimbursement HCPCS/CPT® Codes in our system, we identified 56 Drug Codes that required a recalculation of their AWP Code Price.  Log in to www.ReimbursementCodes.com to view the pricing updates for these codes.  

A4206 J0800 J7183 Q4114
A4216 J1040 J7193 Q4137
A4259 J1200 J7520 Q4158
A9592 J1327 J9027 Q4160
B4100 J1815 J9036 Q4166
B4155 J1885 J9264 Q4188
B4160 J1940 J9305 Q4196
C9113 J1952 J9332 Q4205
C9353 J1953 J9395 Q4217
C9356 J2020 Q0167 Q4226
C9363 J2469 Q4104 Q9950
J0136 J2785 Q4105 S0020
J0604 J2850 Q4108 S0164
J0780 J2860 Q4110 S5571

ReimbursementCodes was designed for organizations like yours to manage pricing, coding and clinical challenges related to specialty drugs. To gain access to this tool and view the rest of the insights we captured this month, visit our site or contact marketing@mmitnetwork.com. 

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RJ Health Clinical Team

RJ Health Clinical Team

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