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MEDICAL DRUG CODING & REIMBURSEMENT

IPD’s complete medical drug-code (HCPCS/CPT) validation solution utilizes current industry guidelines to develop coding, billing, and reimbursement information to ensure efficiency, compliance, accuracy, and strategy identification.

IPD's CODESOURxCE subscription provides access to:

  • A complete NDC to HCPCS crosswalk with detailed code-level information

 

  • Historical pricing and continually updated current pricing at the code-unit level, including trends

 

  • NDC billing-unit and pricing information including NOC guides that accurately reflect NDC bill-unit values for difficult-to-bill new drugs

 

  • Drug cost information at the code-unit and treatment-cycle level, enabling ‘apples to apples’ comparisons of lower cost alternatives

  • NDC-level price-per-code unit calculations 

 

  • Custom comparisons with the ability to upload rebate and acquisition costs

  • Max dose, CMS payment limit, and related administration code information

  • Information and pricing for J-Codes, A-Codes, B-Codes, C-Codes, P-Codes, Q-Codes, S-Codes, and APC Codes

Take advantage of our data downloads, customizable to fit internal systems:

  •    NDC Crosswalk

  •    Pricing History

  •    NOC Crosswalk

  •    Max Dose

Covering these impactful
price points:

  •    Average Sales Price (ASP)

  •    Average Wholesale Price (AWP)

  •    Wholesale Acquisition Cost (WAC)

  •    Ambulatory Payment Classification (APC)