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 professional medical billers and coders in North Carolina can guarantee you of fast and efficient billing, accuracy in coding and compliance to all HIPAA requirement as well as other billing regulations.
With a pool of experts who are present in all the major cities such as Charlotte, Raleigh, Greensboro, Winston-Salem and Durham, Medical Billers and Coders is the ultimate destination for your billing needs. These Billers stay up-to-date on industry changes, new software and technology and the same time maintain industry best practices for your clinic. Some of the services that they provide are:
CPT and ICD9 review
Accounts receivable management
Fee schedule analysis
Making appeals on denied documents whenever necessary
Re-submission of all coding issues and analysis of the cause of denial