In the healthcare industry Pharmacy is an integral part just like other disciplines in this field. However, it also poses certain billing and coding challenges that may often be difficult to manage internally. Also, because certain drugs are excluded from the insurance provider’s coverage where only a few injections and adjuvant therapies allowed, it may […]Read More.. Is your biller doing the right data handling and follow up in pharmacy billing management?
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 […]Read More.. Pharmacy medical billing: Lower Drug Prices in Medicare Advantage and Part D
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 […]Read More.. How does a RCM Pharmacy manager can benefit and impact the ecosystem?
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 […]Read More.. Pharmacy Billing Coding Updates You Can’t Afford to Miss in 2018
Prescription drug spending is a billion dollar problem for the payer industry. While pharmacy benefit managers (PBMs) are often a positive way for payers to manage prescription drug benefits for their members, savings for payers can be limited because of complex or one-sided contracts that benefit PBMs more than their partners. The Pharmaceutical Care Management […]Read More.. Why We Need A Better Regulated Pharmacy Benefit Manager (PBM)?
The present day U.S. healthcare billing and coding process for patient care services is a multifaceted and difficult system for many to fully grasp. This especially vital for pharmacists who are relatively new to generating revenue for patient care services. Pharmacy billing is challenging for varied reasons, including multiple payers; distinctions of the locations where […]Read More.. Understanding The Nuances Of Pharmacy Billing
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 […]Read More.. Physicians To See Increase In Medicare Part B Payment Despite 340B Cuts
Pharma industry has been described as having a “roller coaster ride” in the year 2017 by The Pharmaceutical Journal. Inadvertently, one might assume that the industry is on the downswing but on the contrary it is on its ride up. Pharmacy billing is in big league in the pharmacy billing management as it is a […]Read More.. How The Year 2017 Spanned Out For Pharmacy Billing?
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 […]Read More.. How Can Independent Pharmacies Deal With Underpayments?
Artificial Intelligence (AI) is disrupting the information growth and how the information is processed and implemented? Though we perceive Artificial Intelligence (AI) as a machine replacement of human abilities AI does add more value to the already set process. Pharmacy billing which has seen a trifle of innovation will need effective technology to emerge as […]Read More.. Will Artificial Intelligence (AI) Change The Way Pharmacy Professionals Work?