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 | September 2024

September

15

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 September edition of the Specialty Drug Reimbursement Newsletter, we identified 61 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 3873 Reimbursement HCPCS/CPT® Codes in our system, we identified 61 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.

90632               90746               E0570               J7517                Q4248    

90633               90758               J0175                J8610                Q4269    

90647               91320               J0330                J9025                Q4279    

90651               91321               J1790                J9058                Q4294    

90660               91322               J1830                J9071                Q4295    

90671               A4206               J1940                J9075                Q4297    

90679               A4230               J2020                J9179                Q9963    

90680               A4245               J2371                J9218                S0187    

90710               A4253               J3241                Q0138              S4993    

90716               A4259               J3410                Q0139              S8490    

90740               A7005               J3420                Q4145             

90743               B4103               J7294                Q4189             

90744               C9150               J7516                Q4227        

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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