How Can Independent Pharmacies Deal With Underpayments?

Have you ever stopped to think about how much your independent pharmacies are earning when it dispenses your medication? It turns out that pharmacies, particularly independent pharmacies, sometimes wind up losing money on those prescriptions. That’s largely due to the low insurance reimbursement rates middlemen, known as pharmacy benefit managers, or PBMs, pay pharmacies and […]

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5 Principles for Highly Reliable Healthcare Organization

The healthcare industry is complex, operates and undertakes high-stakes work where mistakes can equal any great revenue loss. That is the reason why so many hospitals are embracing the values of high-reliability organizations. The paradigm works remarkably well in the promotion of patient safety and efficient healthcare delivery. High reliability organizations are organizations with systems […]

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Pharmacist Reimbursement: Tips to Improve from the Leaders

Pharmacies today are home to various financial challenges that result from their limited role, rising medication cost, complex contracts with insurance providers and ever-evolving regulatory policies that tend to work in favor of the patients. They often face cost pressures that impact their revenue cycle management. While focusing on various aspects of running a pharmacy […]

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Pharmacy Billing In-house vs Outsource

A pharmacist is constantly striving to ascertain between different drugs and patients. They juggle between rules, regulations and learning in the modern health care industry. The job just became more compounded with the pharmacy claim process.  Pharmacy billing has come to the forefront with increased regulations on the drugs prescribed and sold. The rules and […]

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MBC Launches Customized Insurance Verification Services for Pharmacy Practitioners

Insurance verification is a critical component in any pharmacy revenue cycle management. As per industry data, more than 70% of all billing claim denials occur due to incorrect billing by the pharmacy practitioners to the insurer. There are occasions when policies are modified, employees switch plans for better benefits, policy gets terminated or expired etc. […]

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