How does a RCM Pharmacy manager can benefit and impact the ecosystem?


Drug therapy, compared to hospital treatment and the surgical procedure is more coherent of medical treatments. Who’s in charge of prescription benefits? Many people think that prescription drug aids come straight from a health insurance provider, when in fact, there’s a very important intermediary doing the bulk of the work for over 80% of employers […]

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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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Pharmacy Billing: Channelize Your Reimbursement Without Affecting Your Facility


The quantity of administrations provided by doctors, clinics, and nursing homes to their patients is consistently expanding. Each time patients are given treatment and care, they owe a specific amount to the healthcare service provider in the form of reimbursement. Same is the process with Pharmacy facilities, as channelizing repayments without affecting their facility is […]

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Pharmacy Benefit Manager: Performance Benefit and Ineffective Management


Drug therapy, compared to hospital treatment and the surgical procedure is more coherent of medical treatment. According to the recent analysis of Kaiser Family Foundation, the per capita expenditure on healthcare is expected to rise from $9,695 in 2014 to $15, 618 in 2024 with an annual average growth of 5%. When the U.S. policy […]

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Medical Coding Audits and Suggestions for Billing Companies


One of the most important elements of medical revenue cycle management is adhering to accurate coding and billing processes. This includes relevant documentation of medical records, precise application of billing codes, and correctly identifying the payment responsibilities of insurers for medical services rendered. A key process to ensure correct billing and coding, to avoid rejection […]

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EBook Overview of Pharmacists: Challenges, Strategies, Effective Guidelines & Processes


The changing healthcare landscape is impacting pharmacists in the US to face new challenges and look for innovative ways to create an effective and efficient pharmacy system. This ebook titled Pharmacists: Challenges, Strategies, Effective Guidelines & Processes is an excellent compilation of the challenges being faced by pharmacists and the strategies that have been introduced […]

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The Role of Pharmacist in Healthcare System


Pharmacists are the most accessible healthcare professionals in any community. Due to the medication and information they provide, pharmacists abet in getting patients healthy thereby influencing the healthcare delivery. Pharmacists also assist in building product knowledge along with acquiring and informing new patients. A few decades ago, a pharmacist simply provided medication to a patient […]

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Why is Experience and Expertise a Necessity in Pharmacy Billing?


Pharmacy billing cannot be taken lightly; of course advances in technology do help in removing the monotony and glitches associated with such repetitive tasks. It is indeed quite a challenge to be able to survive with competition breathing down your neck and wafer-thin margins threatening to eat into your revenues. Pharmacy companies are increasingly moving […]

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