Tag Archives: Drug Price

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%) […]

In a review of Medical Pharmaceuticals claims, over 30% submitted with an NDC had an incorrectly mapped HCPCS/CPT® Codes and/or improperly reported NDC units. These errors may lead to miscalculated reimbursement rates, denied claims and a rise in claim appeals / manual intervention. Join RJ’s Product and Clinical teams as they walk through the different […]

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 […]

RJ Health’s Chris Webb and Jason young walk through the different categories of specialty drug prices, and what is required for reimbursement with each. These webinar clips from “Shedding Light on Medically Covered Specialty Drug Pricing Methods” touch upon AWP (Average Wholesale Price), WAC (Wholesale Acquisition Cost), ASP (Average Sales Price), and how they are […]

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, […]

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 […]

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 […]