Code and reimbursement guides for health insurance providers
With RJ Health Systems, health insurance providers have access to the data, research, and consulting that supports rapid, accurate processing of claims. Our drug reimbursement databases prevent under- or overpayment and inaccurate coding, so your staff will spend less time resolving claim challenges. With reliable data, you can focus on the critical forecasting and contracting work that will make your organization better informed and more competitive in the market.
Whenever claim challenges arise, RJ Health Systems provides payors with factual data to support pricing decisions. Our methodology is widely accepted as the standard in the health care industry, providing a level of consistency for payors, providers, members and employers. Fewer rejected claims leads to greater member satisfaction and fewer potential regulatory issues.
RJ Health Systems provides ICD-9-CM diagnosis codes so health insurance providers can determine if a drug is being used appropriately. Our NDC to HCPCS/CPT® drug code crosswalk promotes efficient claims administration and resolves issues with claims utilizing any one of the non-classified codes. With a historical record of price and code changes that goes back to 2000, health insurance providers can accurately determine the price of the medication or injection on the service date. Our Customer Service department provides timely responses to all phone or email inquiries.
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