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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Accountable Care Organization (ACO’s) Needs Tech-intelligent Pharmacist

With an effort to access and improve the healthcare industry in USA; along with managing the costs which have been the primary issue since years; the introduction of ACO (Accountable Care Organization) whereby the providers have created a comprehensive network that works for the betterment of the patients, and it is appreciated as an achievement […]


Read More.. Accountable Care Organization (ACO’s) Needs Tech-intelligent Pharmacist

What Happens If Your Prior Authorization Doesn’t Match With Service Provided?

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 […]


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Insurance vs. Out-of-pocket Payment: Which Option is better for Pharmacist?

Having a pharmacy business is no easy task considering the nature of Insurance versus out-of-pocket expense that both the patient and the pharmacist have to abide by. The pharmacy benefit manager (PBM), most of the time charges their customers more than the medicine costs and pockets the leftover difference. This is where an efficient, relevant […]


Read More.. Insurance vs. Out-of-pocket Payment: Which Option is better for Pharmacist?

How You Can Evolve Your Pharmacy Practice In 2018?

As we gear to welcome another year, altercation in the field healthcare especially Pharmacy practice and management of medical billing and coding for the prescriptions is going to be a daunting task. Evolvement in terms of monetary gains, structured revenue cycle and speed of reimbursement shall be dealt with precision and by the hands of […]


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Can Pharmacists Solve The Shortage Of Physicians?

Recently, there have been a lot of changes that healthcare professionals witnessed. The role of healthcare professionals has changed and it is believed that by the year 2035 the numbers of primary health care physicians who are now available and managing patients are not sufficient. And with that, the role of non-physicians health care providers […]


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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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Talk To Me!! How Revenue Could Be Affected By Patient Communication?

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 […]


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How Effective Counseling Skills Affect Revenue For A Pharmacist?

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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5 Pharmacy Billing Mistakes Most Profitable Practices Avoid

Acing pharmacy billing ensures efficiency of handling patients and adding revenue of the pharmacy. With the help of automated systems, pharmacy billing will be able to process claims faster, with more accuracy and should be streamlined. The practice of pharmacy billing today requires the suitable resources like operating and technological systems to enhance the productivity […]


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