Medicare Part B or Part D Copyright 2008 RJ Health Systems International, LLC.

Categorization and explanation of benefit coverage for drugs under the Medicare Part B or Part D Program
Listing of all related HCPCS (Healthcare Common Procedure Coding System), established by CMS (Centers for Medicare/Medicaid Services) and/or the CPT (Current Procedural Terminology Codes) established by the AMA (American Medical Association) for billing under the Part B benefit
Ability to search by:
- Drug or Product name (Brand or Generic)
- NDC Number
View CMS Frequently Asked Questions
Access CMS downloadable forms for Prior Authorization or Provider-Pharmacist Communication available in the MEDICARE RESOURCES section
Through the MEDICARE RESOURCES section, link directly to downloadable educational materials for health care professionals specific to Medicare Prescription Drug Coverage

More accurate claims processing
Faster reimbursement for drugs or products
Fewer rejected claims
Updated drug listing for both generics and brands
Review current status of NDCs (National Drug Codes), for active vs. inactive status
CMS resources including downloadable forms and links to the Medicare Prescription Drug Benefits Program sites

The new Medicare Part D prescription drug benefit provides coverage for some classes of drugs which may, in some circumstances, be eligible for coverage under Medicare Part B. An informational table to guide healthcare professionals regarding appropriate billing for these products is available on this site.

PartBorPartD.com makes available specific criteria for use in determining when to bill Part B or Part D for a particular product or drug, in addition to the corresponding HCPCS (Healthcare Common Procedure Coding System) and/or CPT (Current Procedural Terminology) codes for those drugs or products.

PartBorPartD.com allows Pharmacists and other Healthcare Professionals to accurately determine billing for drugs and products under the Medicare Prescription Drug Benefit Program: Part B or Part D.

The PartBorPartD.com website is updated monthly based on receipt of new information from CMS (Centers for Medicare and Medicaid Services) and research by R•J Health Systems International, LLC.

Disclaimer

The PartBorPartD.com website is to be used for informational purposes only. No liability is assumed with respect to accuracy of codes, or data herein, due to either clerical or typographical error. All descriptions of site name codes and all other matters herein are subject to revision. Users of PartBorPartD.com should consult their legal advisor or health care consultant about claims to be filed for these products. No responsibility is assumed.