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 Pennsylvania billers and coders offer a whole range of medical billing solution from physicians looking to manage their small to medium scale practices, their compliance to HIPAA guidelines, can actually streamline your processes better.
Located in cities such as Philadelphia, Pittsburg, Allentown, Erie and Reading, in fact many Pennsylvania billers also take care of medical billing processes of surrounding states where billers are not available with the required experience.
They are a dedicated to improving your collection ratios, saving money in software updates and maintenance, time and effort of your multi-tasking staff with the help of accurate electronic processing. Some of the services in which they are proficient are:
Electronic as well as paper claims submission
Filing of primary and secondary insurance claims
Electronic claims tracking
Posting of insurance payments
Follow up on rejected and under-paid claims
Handling patient queries