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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 | December 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 50 drug code price changes this month, with 25 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 3482 Reimbursement HCPCS/CPT® Codes in our system, we identified 50 Drug Codes that required a recalculation of their AWP Code Price. Clients can log in to www.ReimbursementCodes.com to view the pricing updates for these codes.

90371 E0570 J1885 J7606 Q0175
A2022 J0295 J2359 J8521 Q2009
A4206 J0736 J2469 J8540 Q4175
A4213 J0834 J2560 J9017 S0078
A4253 J1030 J3241 J9060 S0132
A4614 J1100 J3411 J9119 S0166
A4617 J1430 J7050 J9130 S0170
A6196 J1556 J7120 J9190 S0171
B4152 J1568 J7517 J9280 S0183
C9254 J1744 J7518 J9360 S5553

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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