CMS is allowing Medicare Advantage plans to cross negotiate Part D drug prices Starting in 2019, insurers may use step therapy to choose the least expensive drug first before moving on to another prescription. For the first time in the history of healthcare US, Medicare Advantage plans that also offer a Part D benefit have […]
The recent research reveals that about 85% of the hospitals in USA will witnessing a raise in their Medicare part B because of the recent changes in the Medicare outpatient payment charges hence; medical coding too get revised. The Medicare payment charges came into effect on January 1, 2018 which had revealed a major reimbursement […]
A recent survey forecasted that the pharmacy automation market will hit $8.8 billion in the year 2018. In the year of 2011, the pharmacy market was valued at $4.7 billion and nearly 60% of the generated revenue came from automated medication dispensing system. Pharmacists believed that this pharmacy segment is expected to see a compound […]
Prior Authorization for a drug is one of the foremost processes on which the financial health of a Pharmacy facility depends on. Today, with the advancement in the areas of EMR and EHR, Pharmacy billing personnel who work in-house or offshore have to guarantee in advance to their doctors about the patients insurance plan. While […]
The U.S Healthcare industry at the moment is undergoing drastic changes, as the federal government gets ready with a new bill. Eying such a gloomy scenario is it the right time for community pharmacy billing to transform its business operating model for a higher revenue numbers? What impact will it have on the payer-provider front? […]
Altercations in the role of a pharmacist’s in the community pharmacy are impacting the highly evolving healthcare ecosystem and the trends will continue to grow in this rapidly transitioning system. The present-day pharmacies are not just your traditional drug stores, which offer you the prescribed medicines and jot it down in the medical billing, but […]
Recently, there have been a lot of changes that healthcare professional witnessed. The role of healthcare professionals have changed and it is believed that by the year 2035 the numbers of primary health care physicians which are now available and managing patients are not sufficient. And with that, the role of non-physicians health care providers […]
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 […]
Patient communication at all levels in a healthcare system is proportionate to the increase/decrease in revenues. This is especially true in the case of patient interaction with pharmacists. In this article, we discuss the ways in which revenues can be enhanced by way of patient communication especially when there have been cases of dissatisfaction where […]
Health literacy deals with a patient’s ability to obtain and process the health information for taking their health decisions; and to imbibe this understanding in the patient, pharmacists play a major role. As this is the last interaction in the chain of healthcare before patients begin to take their medication, the pharmacists must counsel effectively. […]
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