Read our latest pharmacy billing services blog
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Pharmacy Billing Services
Testing at Pharmacies…Which Billing and Revenue Updates can Enhance Billing?
Testing at Pharmacies Effective 15th January 2022, people with a health plan can go online, or to a pharmacy or store to purchase an at-home over-the-counter COVID-19 diagnostic test authorized by the U.S. Food and Drug Administration (FDA) at no cost, either through reimbursement or free of charge through their insurance. CMS is strongly incentivizing health plans and insurers to set up a network of convenient locations across the country such as pharmacies or retailers…
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Pharmacy Billing Services
Role of pharmacist in digital health era
COVID-19 pandemic has accelerated the digital health era. Digital health includes various advanced technologies such as telehealth, health apps, medication reminders sent via email or text, and remote patient monitoring. The remote patient monitoring will continue to expand and integrate creating a hybrid of in-person and virtual care. Human touch is getting augmented with these hybrid models and these model enables enhancement of the patient-provider experience and improving access, quality, and outcomes of care. Hence…
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Pharmacy Billing Services
Ensuring Successful Pharmacy Billing
Pharmacists play a major role in providing healthcare services to patients by physicians. And for all of us, these services are not a new thing. For years, pharmacists have been offering services over and above filling prescriptions from the origin of the profession. One of the developments in the pharmacy profession is, however, getting compensated for services provided, and to have successful pharmacy billing. In addition, pharmacies have to take advantage of medical billing services…
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Pharmacy Billing Services
Service expectations to have from Specialty Pharmacy
Specialty pharmacy refers to the channels of distribution designed to deal with specialty drugs. Medications used to treat rare or complex health conditions are provided by a specialist pharmacy. Many times, most people don’t use these drugs, so a local pharmacy wouldn’t hold them in stock. For patients in need of access to prescription drugs for complex disorders, such as cancer and multiple sclerosis, specialty pharmacy is a valuable resource. Service plays an important role…
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Pharmacy Billing Services
Medicare Advantage and Part D Advance Notice for CY 2022
CMS released the Part I of the 2022 Medicare Advantage and Part D Advance Notice to provide plans with earlier notification of proposed payment changes. This announcement is made three months earlier than the usual to provide Medicare Advantage organizations and Part D sponsors more time to take this information into consideration as they prepare their bids for 2022. The main takeaway for you from this bundle of rulemaking is that the Medicare Advantage program…
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