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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 | October 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 October edition of the Specialty Drug Reimbursement Newsletter, we identified 48 drug code price changes this month, with 20 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 3873 Reimbursement HCPCS/CPT® Codes in our system, we identified 48 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.

90585 B4152 J1576 J7345 Q0175
90586 B4154 J1650 J7510 Q2009
91304 B4160 J1756 J7606 Q4158
A2019 C9143 J1939 J8610 Q4249
A4216 J0689 J2404 J9030 S0078
A4253 J0750 J2427 J9071 S0160
A4256 J0897 J2562 J9144 S0179
A4802 J1437 J2720 J9145 S4993
B4102 J1438 J2765 J9271  
B4150 J1455 J3411 J9280  

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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© 2024 MMIT
RJ Health Clinical Team

RJ Health Clinical Team

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