Resources
Please refer to the resources below to assist you as you begin patients on treatment with MONJUVI
Reimbursement, Appeals, and Billing and Coding for MONJUVI
Access these resources and references to help assist with the reimbursement process for MONJUVI.
MONJUVI Billing & Coding Guide (2.4 MB)
Utilizing appropriate codes on claim forms is required in order to obtain timely and appropriate reimbursement. Use this sample guide to provide information about relevant codes for MONJUVI, including:
- Product Codes
- Procedure Codes
- National Drug Codes (NDCs)
- Revenue Codes for the physician office setting as well as the hospital outpatient setting
Medical Exceptions & Patient Support Services Guide (3 MB)
The My MISSION Support Medical Exceptions & Patient Support Services Guide provides tools and information that can help address potential medical exceptions.
JZ Modifier Flashcard (974 KB)
This flashcard helps clarify the JZ modifier and when it is required on claims.
Sample Appeals Letters:
Sample Letter of Medical Necessity (32 KB)
A patient's insurance company may request a letter of medical necessity for prescribing MONJUVI. Use this sample as a guide to develop your own response to this type of request.
Sample Letter of Medical Exceptions (32 KB)
An exception request is a specific type of coverage determination asking a payer to reconsider an adverse tiering or formulary decision. Use this sample as a guide to create your own letter requesting an exception for MONJUVI.
Sample Appeal Letter (38 KB)
If your claim is denied, use this sample correspondence, which outlines the appeal requirements to create your own letter.
MONJUVI Product Information Guide (2.3 MB)
This Product Information and Ordering Guide includes information about MONJUVI and its select network of Specialty Distributors or Specialty Pharmacies.
My MISSION Support
Learn about the My MISSION Support Program and the personalized assistance provided.
My MISSION Support Program Brochure (171 KB)
A comprehensive guide describing the services offered by My MISSION Support and how to access them.
My MISSION Support Enrollment Form - English (231 KB)
Download and complete the My MISSION Enrollment Form to initiate program offerings.
My MISSION Support Enrollment Form - Spanish (341 KB)
Download and complete the My MISSION Enrollment Form to initiate program offerings.