Pharmacy is an integral part of healthcare, and, just like other disciplines of healthcare, it also poses certain billing challenges that may often be difficult to manage internally. Moreover, because certain drugs are excluded from insurance coverage and only a few injections and adjuvant therapies allowed, it may require experts to judge the efficacy either including or excluding the drugs during billing.
To complicate matters further, pharmacy-related reimbursements require multiple levels of data handling and follow-ups as in most cases. Although it is a separate set of medical service and provided from a separate facility, claims are prepared and submitted together by hospitals or nursing homes – either because they come later in the care chain or because it forms a small part of the care services hospitals provide. This joint-claim preparation and submission leads to a greater potential for inaccurate Data handling and denied claims.
Our medical billers and coders are catering to physicians and providers in Nebraska in all major cities in Nebraska such as Omaha, Lincoln, Bellevue, Grand Island and Kearney.
With HIPAA regulations and changes in the reimbursement strategy across US, our medical billers and coders use appropriate solutions to keep your practice updated. They maximize your office efficiency by cutting costs and improving your bottom line. Some of the services where our medical billers and coders have shown proficiency are:
Patient demographics and charge entry
Claim submission and follow up
Account receivables management