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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 2024

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 51 drug code price changes this month, with 23 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 3926 Reimbursement HCPCS/CPT® Codes in our system, we identified 51 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.

A4253 J1200 J3010 J9179 Q4249 S4993
A4256 J1301 J3420 J9245 Q4257  
A9591 J1642 J3465 J9260 Q4258  
B4149 J1790 J7120 Q0144 Q4294  
B4154 J1953 J7510 Q4180 Q4295  
J0132 J2246 J7606 Q4218 Q4298  
J0290 J2250 J7614 Q4227 Q4299  
J0735 J2598 J8515 Q4229 S0028  
J0883 J2760 J9041 Q4232 S0106  
J0884 J2916 J9120 Q4248 S4991  

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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