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Explore Our Blogs on Pharmacy Billing & Coding

Common Pharmacy Reimbursement Strategies to Calculate Insurance Payments

The current fee-for-service reimbursement model places the incentives on volume over value, lacking any scope for preventive care and care coordination among providers. In order to lower down the cost and improve medical outcome the payment structures need to be redesigned to focus incentives on results and overall value of healthcare. Here are some research […]

Save 9% On Medicare Payments By Reporting PQRS

Quality measurements and quality data reporting are an integral part of Medicare programs. PQRS (Physician Quality Reporting System) is one such reporting that is to be demonstrated to meet the quality performance standards. PQRS is a quality reporting program that boosts group practices and individual EPs (eligible professionals) to report about quality care to Medicare. […]

Steer Clear These Medical Billing Mistakes for a Successful Healthcare Revenue Cycle

Medical billing is the backbone of healthcare revenue cycle management. But it can be a painful process for some providers due to the interaction required with an array of healthcare stakeholders, challenges involved in efficiently and accurately billing patients and payers for the services being performed etc. Effective medical billing is essential for efficient revenue […]

Insure Proper Pharmacy Billing and Reimbursement

Progress in clinical practice coupled with technological advancements and counseling of patients, pharmacists are playing a very significant role in patient care. However, like all other disciplines, pharmacy billing too poses a challenge in this period of ever-increasing health care costs, insurance reimbursement cuts and recurrently changing health plans. For apt reimbursement, pharmacists must bill […]

Is Private Practice Challenging or More Rewarding?

One of the most daunting questions for any practitioner is whether or not to start a private practice. Although having a private practice is a huge accomplishment in itself, it is not a cake walk. To be able to deal with the innumerable barriers, streamlining processes and the whole gamut of operational workflows and the […]

Pharmacy Reimbursement: Make the Most of MTM

By definition, Medication therapy management (MTM) is medical care provided by pharmacists whose aim is to optimize drug therapy and improve therapeutic outcomes for patients. Due to their specialized training and unique insight Pharmacists today are playing a pivotal role in improving patient outcomes by recommending suitable medications and providing other allied services like direct […]

Health-System Pharmacists Embrace Medication Standardization Campaign

Over the past decades it has been observed that standardization of Intravenous (IV) medical products and compounded oral liquid products is an important error prevention strategy in the process of patient healthcare. This is because these two types of medical products are used mainly while treating vulnerable patients and contain numerous high alert medications which […]

What does a Pharmacy Billing Specialist do for Your Practice?

With increasing competition and decreasing margins, survival is becoming a challenge. As a result, to enhance the business processes and efficacy, pharmacy companies have either moved to an automated management systems or planned to outsource pharmacy services. Billing being an integral function that requires precision and agility, anything/anyone who can simplify the process could be […]

Managing the Revenue Cycle Management duties for Pharmacy

Revenue Cycle Management duties for Pharmacy Hospital Management and Pharmacy billing may altogether be of different proportions as far as work undertakings are concerned, but the evolving healthcare scenario has pushed for stringent medical billing and coding practices. If your pharmacy is still undermined and not knowledgeable about the latest best practices, managing the Revenue […]

Pharmacy Billing: Measuring Value Today and Tomorrow

Since its inception, the pharmacy sector of healthcare has been faced with various challenges which have threatened the quality and the affordability of care for its patients. These challenges often resulted in administrative as well as billing burdens impacting pharmacy operations, unique accounting, bookkeeping, and even patient safety. Though technology has removed most of the […]

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Explore Our Blogs on Pharmacy Billing & Coding