Free press releases distribution network?

More news: Health/Surgery
Agency / Source: Pro Pharma Pharmaceutical Consultants, Inc.

Check Ads Availability|e-mail Article

Are you the owner of this article?, Turn it PREMIUM with your LOGO instead - and make it 3rd party Ads-Free! within the next hour!

Pro Pharma Announces Newly Enhanced & Expanded JCode Calculator™ - Pro Pharma Pharmaceutical Consultants, Inc., a pharmaceutical consultant organization which focuses on data analytical expertise, announced that it has introduced Improved Enhancements to the JCode Calculator™ for claims and billing experts
Pro Pharma Announces Newly Enhanced & Expanded JCode Calculator™


PRZOOM - /newswire/ - Northridge, CA, United States, 2011/05/16 - Pro Pharma Pharmaceutical Consultants, Inc., a pharmaceutical consultant organization which focuses on data analytical expertise, announced that it has introduced Improved Enhancements to the JCode Calculator™ for claims and billing experts.

Your Banner Ad Here instead - Showing along with ALL Articles covering Health/Surgery Announcements

Replace these Affiliate Programs at ANYTIME! Your banner here within the next hour. Learn How!


Pro Pharma has developed this Standardized Injectable Fee Schedule to assist with management of claims payment of self injectables, vaccines, immunizations and cancer therapeutic agents.

Pro Pharma’s JCode Calculator™ Version-2 is a standardized injectable fee schedule which is updated on a quarterly basis, and accompanied by a customized Excel Workbook to meet Client requirements.

Pro Pharma provides secured access for Clients to the Pro Pharma secured website for quarterly updates and daily access and includes the following Key Features:

• Improved look up and History Functions;
• MMA Part B vs. Part D coverage;
• Differentiations between Brand & Generic Drugs;
• ICD-9 codes for Approved Diagnoses Identification;
• Expanded NDC lookups;
• Expected Package Quantity;
• Drug Alerts where appropriate.

“This update includes more than 70% price changes in our entire JCode Calculator™ database which consists of greater than 5000 entries. Additionally, this reflects all of the many AWP decreases mandated by the FDB/Medi-Span prior court decision”, said Craig Stern, PharmD, MBA, President of Pro Pharma. “This enhanced and expanded version allow Claims and Billing professionals to easily Identify all JCodes for any drug within seconds. Every entry on the JCode Calculator™ has a field that allows Billing and Claims Professionals to click and see all JCodes that pertain to that drug. This is only one of numerous filters that are user friendly, and customization is available per client request.”

This reference database also Includes, but is not limited to:

• HCPCS Code (including A, J, Q and S Codes);
• Current Procedural Code (CPC, formerly CPT) for drugs;
• Average Wholesale Price (AWP**) by package and pricing unit;
• National Drug Code number (NDC);
• Average Sales Price (ASP);
• Brand Name;
• Generic Name;
• Strength;
• Package Size;
• Manufacturer;
• WAC (Wholesale Acquisition Cost).

** Other cost bases, besides AWP are also available.

The JCode Calculator is now available on a daily, weekly, monthly and quarterly basis and can be purchased on website.

Please visit Pro Pharma website for more complete information.

PRO PHARMA ( is a multi-service, woman owned, privately held consulting firm offering a vast portfolio of services to public and private entities including self-insured employers, Taft Hartley Trusts and unions, public employers, for-profit hospitals and integrated health networks, health care insurance companies, worker's compensation insurers, small-to-medium sized HMO's, and physician groups.

As a primary service to plan sponsors for achieving below trend results, PRO PHARMA provides an integrated program of administrative process improvements, clinical quality oversight, and provider/member education.

PRO PHARMA’s Consulting services are grounded in the use of data and the communication of that information to define benefit trends, drivers and other analytical indicators. PRO PHARMA markets Biotech Modeling™, Invoice Screening™, Quality Management Program™, and Treatment Calendar™. The Company directly markets its products in the U.S. and collaborates with partners to reach international markets.

About Quality Management Program™ (QMP)
Pro Pharma’s Quality Management Program™ (QMP) is a multi-faceted approach that targets the pharmacy benefit cost and quality from multiple directions; namely, physician prescribing decisions, member demands, pharmacy oversight and patient education, HR rep education, and messaging to actives/retirees. The program is focused on providing patients and physicians specific tools designed to make more informed purchasing decisions that expand member co-pay dollars. The bottom line is: payers (self-insured, employers, Trusts, etc.) lower their pharmacy trend.

About Invoice Screening™
About 10% of drug spend is being paid from PBM Invoices, and should have been rejected by clients prior to payment. Pro Pharma’s Invoice Screening™ analyzes invoices against: formulary compliance, compliance with MAC pricing, eligibility, claims pricing, invalid claims, and excluded benefits, pre-payment as an Accounts Payable function. This ensures that clients only pay for valid claims, which saves time and dollars in the long run.

About JCode Calculator™
Pro Pharma has developed a Standardized Injectable Fee Schedule to assist with the management of claims payments. The advantage to this product is that it bases all Injectable reimbursement on AWP, WAC and ASP cost, and can be customized for drug category discounts or multiple discounts based on drug type or specialty. It includes at least one AWP for every HCPS Code and CPT code description; NDC, brand name, generic name, strength, package size, etc. This look-up reference tool provides non-pharmacist billing and claims personnel with the information and knowledge to process and reimburse claims in a timely, efficient and cost effective manner.

About Biotech Modeling™
Pro Pharma utilizes both the Medical and Pharmacy paid claims to analyze previous claims experience and to develop a model to project future trends. These issues center on the need for drug specific claims information, processing rules to ensure accurate quantities and maximum payment amounts, and rules for processing miscellaneous claims. The model can be updated with enhancements expeditiously given new Medical and Pharmacy claims experience.

Pro Pharma can identify immediate savings opportunities through re-modeling of claims processing procedures, and longer-term savings through technology assessment and utilization management. Additional research and analyses can be performed to determine the biotechnology drug driven costs in procedures, diagnostics, and provider time. It is expected that these adjunctive costs will represent an ever-larger portion of the ambulatory experience downstream

About Treatment Calendar™
Pro Pharma’s Treatment Calendar™ is a proprietary program comprised of Artificial Intelligence rule sets, which allow for quality and cost comparisons by peer-to peer, peer-to-best in class, peer to national norms, and peer to local norms.

Pro Pharma uses Clinical Protocols to analyze patient encounter data and diagnoses for required exams, tests, and medications. In this way, physician practices can schedule the applicable services for each patient and then review them for exceptions.

Treatment Calendar™ functions in the following manner as a:

• Quality tool for benchmarking;
• Tool to align provider and payer incentives by focusing on actionable patient specific quality improvements;
• Risk management tool to identify therapy that doesn't comply with national norms;
• Tool to graphically identify gaps in compliance.

Your Banner Ad Here instead - Showing along with ALL Articles covering Health/Surgery Announcements

Replace these Affiliate Programs at ANYTIME! Your banner here within the next hour. Learn How!


Agency / Source: Pro Pharma Pharmaceutical Consultants, Inc.


Availability: All Regions (Including Int'l)


Traffic Booster: [/] Quick PRZOOM - Press & Newswire Visibility Checker


Distribution / Indexing: [+]

# # #
  Your Banner Ad showing on ALL
Health/Surgery articles,
CATCH Visitors via Your Competitors Announcements!

Pro Pharma Announces Newly Enhanced & Expanded JCode Calculator™

Company website links NOT available to basic submissions
It is OK to republish and/or LINK any newswire for any legitimate media purpose as long as you name PRZOOM - Press & Newswire and LINK as the source.
  For more information, please visit:
Is this your article? Activate ALL web links by Upgrading to Press Release PREMIUM Plan Now!
Contact: Carol Stern - 
818-701-5438 carol.stern[.]
PRZOOM / PRTODAY - Newswire Today disclaims any content contained in this article. If you need/wish to contact the company who published the current release, you will need to contact them - NOT us. Issuers of articles are solely responsible for the accuracy of their content. Our complete disclaimer appears here.
IMPORTANT INFORMATION: Issuance, publication or distribution of this press release in certain jurisdictions could be subject to restrictions. The recipient of this press release is responsible for using this press release and the information herein in accordance with the applicable rules and regulations in the particular jurisdiction. This press release does not constitute an offer or an offering to acquire or subscribe for any Pro Pharma Pharmaceutical Consultants, Inc. securities in any jurisdiction including any other companies listed or named in this release.

Health/Surgery via RSSAdd NewswireToday - PRZOOM Headline News to FeedBurner
Find who RetweetFollow @NewswireTODAY

Are you the owner of this article?, Turn it PREMIUM with your LOGO instead - and make it 3rd party Ads-Free! within the next hour!

Read Latest Press Releases From Pro Pharma Pharmaceutical Consultants, Inc. / Company Profile

Read Health/Surgery Most Recent Related Press Releases:

Frost & Sullivan Names Optum 2016 North America Company of the Year for Population Health Management
R-Pharm Produces Biological Drugs in Yaroslavl with GE Healthcare's FlexFactory™ Manufacturing Platform
GE to Invest €150 Million in Biopharmaceutical Manufacturing Campus in Cork, Ireland, and Establish Advanced Manufacturing Training Centre At NIBRT
Ultimate Medical Group Announces A New Regenerative Medicine Division
Apollo eDoc Launched Online Appointment Platform
Digital Health and Point of Care Driving Growth Opportunities in the Rise of Mobile Molecular Diagnostics Says Frost & Sullivan
Aggressive Expansion and Consolidation Strategies Define APAC’s Top Fifty Healthcare Services Companies Finds Frost & Sullivan
Frost & Sullivan Lauds VitreosHealth’s Advanced Predictive Analytics Solution for Providing Accurate Predictive Risk Analyses of a Population’s Health
Less Restrictive Indian Visa to Expand Medical Tourism in the Country According to MedHalt
Kubtec Digital X-Ray Announces New Website Launch

Boost Your Social Network
& Crowdfunding Campaigns

NewswireToday Celebrates 10 Years in Business
Find business coaching, life coaching, executive coaching and corporate coaching, best selling coaching books, ...


Visit  La Bella Bakery Artisan Bakery Arizona

Visit  Intrinsic Executive Search Ltd

Visit  Demyk Lightmod Products, Inc.

  ©2016 PRZOOM — Limelon Advertising, Co.
Home | About PRZOOM | Advertise/Pricing | Contact | Investors | Privacy/TOS | Sitemap | FRANCAIS
newswire, PR free press releases distribution service magazines engine news alert newsroom press room breaking news public relations articles company news alerts newswiredistribution ezine bizentrepreneur biznewstoday digital business report market search pr firms agencies reports distri-bution today investor relation successful internet entrepreneur newswire distribution freenewswiredistribution asianewstoday bizwiretoday USA pr UK today