Tag Archives: drug codes

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices New Clinical and Billing Information CMS News New, Revised, and Deleted HCPCS® Effective July 1, 2020 CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases each month and detail the rationale for the change. Of […]

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices New Clinical and Billing Information CMS News CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases each month and detail the rationale for the change. Of the 55 AWP Drug Code Price changes this month, 18 (33%) […]

INSIDE THIS ISSUE Drug Reimbursement Code Price Updates Drugs/Devices New Clinical and Billing Information CMS News New HCPCS® Codes Effective April 1, 2020 Now Available Quarterly ASP (Average Sales Price) File Released Hospital OPPS (Outpatient Prospective Payment System) Update April 2020 NOC (Not Otherwise Classified) Pricing File Released CODE UPDATES Large Price Changes: We identify […]

INSIDE THIS ISSUE Clinical News Retroactive Pricing Issued for Q2043 Drug Reimbursement Code Price Updates Drugs/Devices New Clinical and Billing Information CMS News CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases each month and detail the rationale for the change. Of the 52 AWP […]

INSIDE THIS ISSUE Clinical News Drug Reimbursement Code Price Updates Drugs/Devices New Clinical and Billing Information CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases each month and detail the rationale for the change. Of the 224 AWP Drug Code Price changes this month, […]

Join RJ’s Product and Clinical teams as they walk through the multitude of different combinations of drug claims and pricing methodologies, via clips from the webinar “Shedding Light on Medically Covered Specialty Drug Pricing Methods.” In the following clip, Chris Webb explains the main difference between HCPCS and NDC code level reimbursement. All past RJ […]

INSIDE THIS ISSUE CMS News REMINDER – New HCPCS® Codes are Now Effective Quarterly ASP (Average Sales Price) Pricing File Revised for January 2020 Hospital OPPS (Outpatient Prospective Payment System) Update January 2020 NOC (Not Otherwise Classified) Pricing File Drug Reimbursement Code Price Updates 39 Drug Codes required a recalculation of their AWP Code Price Drugs/Devices […]

INSIDE THIS ISSUE CMS News New HCPCS® Codes Effective January 1, 2020 Now Available Deleted and Revised HCPCS® Codes Effective January 1, 2020 Coming Soon Drug Reimbursement Code Price Updates 39 Drug Codes required a recalculation of their AWP Code Price Drugs/Devices New Clinical and Billing Information CODE UPDATES Large Price Changes: We identify and report […]

$35 billion of drug-related revenue comes from healthcare provider offices. Health plans have established policies that require additional information, not just the HCPCS code. This additional information enables payors to differentiate between drugs that exist under the same billing codes. Recent claims analysis revealed a high degree of confusion from providers on what is required […]

INSIDE THIS ISSUE CMS News New HCPCS® Codes Effective January 1, 2020 Coming Soon Drug Reimbursement Code Price Updates 68 Drug Codes required a recalculation of their AWP Code Price Drugs/Devices New Clinical and Billing Information CODE UPDATES Large Price Changes: We identify and report on the codes with the most substantial pricing increases or decreases […]