Pharmacy Billing Coding Updates You Can’t Afford to Miss in 2018

The pharmacy practice is evolving along with changes in the healthcare industry. With this transformation, the supply and demand factors related to pharmacy services are also transforming. In the coming days, patient demands on the healthcare procedures are expected to increase ominously and outpace the current provider supply nexus. Team-based approaches have been regarded as […]

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 […]

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 […]

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 […]

How to Make Your Pharmacy a Wellness Clinic?

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 […]

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 […]

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 […]

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 […]

Pharmacy Billing – In house V/s Outsourcing

A pharmacist working along with a physician is the kind of teamwork visualized by the Affordable Care Act, which encourages the medical-home model. Like physicians, Pharmacists work with patients at both large integrated health systems, as well as small primary care practices. And as a result, many pharmacists find their revenue hitting the wall due […]

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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