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In the last Coding 101 blog that focused on HCPCS codes we discussed that there are 2 divisions of the code set into level I and level II. That focused on level II codes, in this blog we’ll discuss HCPCS Level I codes, also known as CPT® codes, short for Common Procedural Terminology. CPT® codes […]

Many of our Payor customers are asking where to focus and how to prioritize their efforts when applying our data to their Medical Drug management processes. To help each organization understand the potential impact of applying our data, Claims Analysis evaluates your historical claims and provides a summary report which highlights the potential impact of […]

  What does it take to ensure sound reimbursement policies on physician administered drugs?  In a phrase, it takes “good data.” We, at RJ Health Systems, consider our data to be the industry standard for evaluating Medical drug reimbursement policy – a position we’ve earned over the past 16-years (average customer tenure is a whopping […]

Two weeks ago we officially announced RC Claim Assist, our provider facing NDC Conversion website. For those who may have missed it, RC Claim Assist is designed to help providers through the conversion process to ensure the correct HCPCS/CPT Code, NDC and NDC Units are submitted on a claim. This means a reduction in claim […]

During our discussions with clients we frequently receive questions on exactly what are HCPCS codes and how are they developed. In the coming weeks we will be sharing knowledge and insights on common customer questions. Today we’ll be discussing HCPCS codes. The acronym HCPCS (usually pronounced “hick-pick”) stands for Healthcare Common Procedure Coding System and […]

There is a growing trend in physician administered drugs submitted to the medical benefit. Billing at the NDC unit is becoming the new standard. While the use of an NDC has long been a requirement for many payors, it is becoming more prominent for physicians to now include the NDC Billable unit. After conducting a […]

For the better part of this year, RJ Health Systems has been hard at work building new enhancements and additions to our products and data employed by 250 health care organizations for reimbursement of physician administered drugs. For starters, we have a new concept for our flagship product; ReimbursementCodes. Our focus has been on improving […]

We’re very excited to welcome aboard Todd Cooperman as Vice President, Drug Information Services and Data Analytics. As Vice President, Todd will provide extensive input to the development and maintenance of RJ Health Systems’ drug information databases. Additionally, Todd will oversee the development of analytic methodology, implementation, and reporting for our various clients. “Todd brings […]

RJ Health Systems’ Headquarters in Rocky Hill, Connecticut, recently was remodeled! We tore down the old cubicle walls in order to make room for more employees in our growing company. We wanted an open office plan to encourage more communication between employees in order to better solve our customers’ problems. Our company is small and […]

RJ Health Systems was on the road over the last month attending AMCP and Asembia (formerly Armada) conferences, gaining insight into industry trends and interacting with our customers face to face. AMCP: At this year’s Academy of Managed Care Pharmacy (AMCP) Meeting in San Francisco from April 20th to 22nd, more than 4,200 managed care […]