MBC for Physicians

Pharmacy Billing Services

Optimize Your Practice Revenue &
Billing Efficiency

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Getting Started

We specialize in comprehensive pharmacy revenue cycle management, bringing deep expertise in navigating the complexities of pharmaceutical billing and reimbursement processes.

Our refined solutions are tailored to optimize revenue streams for independent pharmacies, hospital pharmacies, and specialty medication providers. In today's evolving healthcare landscape, with expanding specialty medication services and complex prior authorization requirements, our billing solutions ensure accurate claims processing while maximizing reimbursement rates.

Our expertise allows pharmacy professionals to focus on patient care while we manage the intricate aspects of revenue optimization.

Medical Billing At A Glance

Explore key figures that highlight our commitment to
seamless coding and optimized reimbursement.

Claims Processing
Metrics

First Pass
Resolution Rate

Percentage of claims paid on the first submission.

Average Days to
Payment

Average number of days it takes for claims to be paid.

Financial Metrics

Net Collection
Rate

Percentage of total charges that are collected.

Average Denial
Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

Average Claims
Submitted Per Month

Volume of claims
submitted.

Staff Productivity
Rate

Claims processed per biller per day.

Pharmacy Billing Services

Maximizing claim efficiency and compliance for
superior revenue management

  • Navigating Modern Pharmacy Billing Challenges
  • Specialized Pharmacy Service Billing Solutions
  • Medicare Compliance and Insurance Management
  • Revenue Cycle Optimization
  • Quality Assurance Framework

Pharmacy billing presents unique complexities in today's healthcare landscape, from intricate insurance coverage rules to multi-level data handling requirements. Our comprehensive solutions address these challenges while ensuring compliance with HIPAA regulations and optimizing reimbursement processes across all pharmacy service types, from clinical operations to specialized care delivery models.

  • Specialized management of injectable and adjuvant therapy billing

  • Expert navigation of bundled payment requirements

  • Strategic denial prevention and compliance monitoring

  • Comprehensive documentation and audit management

Mastering Every Code for
Pharmacy Specialty

Our expertise spans the full code range, ensuring precision and
compliance in every claim we process

Transplant-Related Supply Fees

Q0510

Initial immunosuppressive drugs supply fee (first month post-transplant)

Cancer and Immuno suppressive Drug Supply Fees

Q0511

 First prescription supply fee (30-day period)

  • Oral anti-cancer drugs
  • Oral anti-emetic drugs
  • Immunosuppressive drugs

Q0512

Subsequent prescription supply fee (30-day period)

  • Oral anti-cancer drugs
  • Oral anti-emetic drugs
  • Immunosuppressive drugs

Inhalation Drug Dispensing Fees

Q0513

30-day dispensing fee

Q0514

90-day dispensing fee

HIV Prevention Supply Fees

Q0521

Supply fee for HIV pre-exposure prophylaxis (PrEP) FDA-approved prescriptions

Download Your Pharmacy
Billing Guideline Here

Why Choose Us?

Analyze Practice & Benchmark

Data-driven analysis to compare and enhance your practice’s performance.

Practice Documentation SOP

Standardized operating procedures for seamless practice documentation.

Measure Results Consistently

Continuous monitoring to deliver reliable and consistent results.

Ready To Optimize Your
Pharmacy Billing Process ?

Real Physicians, Real Results

Discover how physician groups thrive with us

Help Us Understand Your Requirements

Get in touch with us for more Information.
We're ready to assist with your billing and coding needs.

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