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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 | November 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 November edition of the Specialty Drug Reimbursement Newsletter, we identified 95 drug code price changes this month, with 36 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 3395 Reimbursement HCPCS/CPT® Codes in our system, we identified 95 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.

90587 B4103 J0153 J0894 J1940 J2425 J3145 J7345 Q2054 S0164
90691 B4154 J0290 J1030 J2010 J2469 J3243 J9041 Q2055 S0166
A2021 B4155 J0490 J1040 J2020 J2562 J3370 J9060 Q4191 S0171
A4253 B4157 J0571 J1165 J2060 J2675 J3489 J9171 Q9983 S5553
A4256 B4160 J0583 J1327 J2150 J2785 J7178 J9177 S0028 S8490
A4259 B4162 J0594 J1335 J2250 J2787 J7180 J9205 S0032
A4627 C9113 J0636 J1448 J2274 J2794 J7187 J9250 S0088
A9513 C9143 J0744 J1650 J2305 J2860 J7202 J9271 S0106
A9607 E0607 J0775 J1800 J2326 J2993 J7210 J9273 S0108
B4102 E2100 J0780 J1885 J2359 J3090 J7336 J9600 S0145

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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