1. Billing Unit Change to ProstaScint®

    PROSTASCINT® Kit for the Preparation of Indium In 111 Capromab Pendetide (NDC 57902-0817-010) currently listed with a billing unit of “each”, will be listed with a billing unit of “ML” by the Drug Compendia effective with each compendium’s quarterly release update files for the end of September 2016 or the start of October 2016. Please contact your drug compendia to obtain the specific date of their file change. This change in billing unit conforms with the NCPDP Billing Unit Standard (Section 5.2.2 and 5.2.9). 

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  2. Improving Specialty Pharmacy Speed to Therapy

    The complex specialty pharmacy ecosystem relies on antiquated, redundant, and inefficient communication via paper, phone and fax. The lack of consistency and agreement in the industry as to terminology and definitions, often leads to multiple approaches to administration of specialty pharmacy programs and benefits and impedes speed to therapy by days, and sometimes weeks.

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  3. June 2016 CORE Code Combinations v3.3.0 Available

    The June 2016 updated version of the CORE-required Code Combinations for the CORE-defined Business Scenarios (i.e. CORE Code Combinations) is now available for use with the CAQH CORE 360: Uniform Use of CARCs and RARCs Rule and includes:

    • Compliance-based Adjustments as a result of code list updates published on March 1st.
    • Market-based Adjustments in response to the 2015 Market-based Review. 

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  4. ASC X12N's Public Comment Period Timeline

    ASC X12's Insurance Subcommittee (X12N) released a revised schedule of planned public review and comment periods for the 7030 counterparts to the HIPAA-adopted transactions and related Type 3 Technical Reports (TR3s).

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  5. Klimek to Speak at 2016 ONC Annual Meeting

    NCPDP's Senior Vice President Standards and Information Technology, John Klimek, R.Ph., will be speaking at the 2016 ONC Annual Meeting: Committed to Better Health Through IT in Washington, D.C. on Wednesday, June 1, 2016.

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