ReimbursementCodes

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About ReimbursementCodes

Since 2000, ReimbursementCodes has been the industry’s go-to partner when it comes to reimbursing for Specialty Drugs against medical claims. Providers, payors and affiliated healthcare organizations rely on our platform with its coding and clinical data sets; to power workflow, drive accuracy into reimbursements and create a clear understanding related to specialty drugs.

Data Integration

Manage medical drug spend across your organization with our suite of data products.

We provide health care organizations with data products necessary to effectively manage and ensure appropriate reimbursement. Our data, at various levels across healthcare organizations, can help manage medical drug spend while adapting to the constantly changing specialty drug landscape.

Our data is designed for direct integration with various healthcare systems, such as financial and analytic platforms, pharmacy operations, network contracting, and claims management.

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Workflow Applications

Empower teams to effectively manage specialty drug spending on medical claims.

ReimbursementCodes.com is the industry’s leading software-as-a-service application for managing medical drug reimbursement. From providers to payors; organizations employ our comprehensive crosswalk of HCPCS/CPT® codes to NDC codes to drive pricing accuracy and operational efficiencies.

Every license includes the full suite of our data products as well as billable unit conversions, calculators and workflow features to drive payment integrity for specialty drugs against the medical claim.

To learn more visit ReimbursementCodes.com

Provider Tools

Tools and insight to ensure Providers can correctly bill NDC units.

Billing accuracy is always a challenge, especially for specialty drugs billed against a medical claim. As more payors shift to enforcing NDC coding and billable units on claims, Providers need the data and tools to bill with accuracy.

Built on the same data as ReimbursementCodes, the RC Claim Assist software-as-a-service application links HCPCS/CPT® drug codes with the appropriate NDCs. Designed for Providers; it converts HCPCS/CPT® level pricing units to NDC level pricing units.

To learn more visit RCClaimAssist.com