Validated clinical and diagnostic information
RJ Health Systems provides hospital and pharmacy administrators with accurate clinical, drug coding, and pricing information. With more than 35,000 NDCs for medications and vaccinations routinely administered, it can be challenging to bill using one of the nearly 2,000 corresponding CMS-HCPCS or AMA-CPT® Drug Codes.
Our drug reimbursement databases crosswalk NDCs to their appropriate code, including guidance for drugs coded under one of the miscellaneous drug codes. We provide customization of our rates to meet the needs of your contractual arrangements.
RJ Health Systems provides Medicare allowable rates (ASP), along with APC (Ambulatory Payment Classification) codes, rates and related Status Indicator and Revenue Codes for Hospital Outpatient use. In our system, we crosswalk appropriate ICD-9-CM Codes to corresponding drugs and also provide clinical information.
When you have questions, our staff is always available to answer your call, providing complete customer service functions related to drug coding and pricing. We update a quarterly AWP to ASP comparison report to keep you current on the latest pricing information.
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