Is your profit margin falling fast? Is the cost of billing on the verge of running off charts? With the ever-increasing competition, pharmacy billing presents a myriad of new and complex challenges that can’t be solved by using technology alone. If you want billing functions to be handled with agility and precision it is crucial to outsourcing pharmacy billing to specialists like us.
We offer advanced pharmacy billing services that will cleanse your spending and quicken the turnaround time. When you pharmacy billing to us we ensure the utmost accuracy in understanding third-party relationships, applying contracts, billing, and reconciliation. With the goal to bring better value to pharmacists, we streamline our solutions to take on the present and future challenges in pharmacy billing.
Pharmacy Billing Services We Offer
Think affordability, because we understand customized pharmacy medical billing. From patient authentication to payments, we take care of the entire pharmacy billing cycle from start to finish. Our well-structured solutions will help pharmaceutical firms, pharmacists, and medical practitioners save big. When you want to outsource pharmacy billing services, here is what we have on offer –
- Patient Data Capture:- Also known as admissions, this is the initial step in the pharmacy billing process. It is a resource-intensive process where we capture patient details such as medical history, medical reports, previous prescriptions, doctors visited, etc. Our professionals are specialized in executing this task with speed, confidentiality, and accuracy.
- Enumeration and Statistic Update:- Once the customer makes a medical claim, you need to document essential information such as diagnosis & treatment summary, doctor’s contact details, change of physician (if any), patient reports, patient discharge summary, etc. Our enumeration services will accurately document the patient and payment records to speed up the medical claims process and provide a daily census update.
- Pre-authorization:-Our specialized authorization team can handle a variety of drug classification and pharmacy codes with precision. Our billing systems are designed to ensure that authorizations are acquired ahead of the billing. This drastically lowers claim denials especially when patients are subscribed to complex health plans.
- Medication Refill Management:-
We take care of refill management by assisting patients and repeat customers in need of quick and efficient meds refill. To keep your clients happy we follow service pharmacy code guidelines to process refills without delay. Additionally, we also send timely reminders for refills.
- AR Follow-up:-
All unbilled services impact the provider’s revenue generation. To prevent this we ensure that each and every pharma service provided to clients are comprehensively billed without lapse. We also follow-up with patients and providers to ensure that payments are transacted on time.
- Charge & Payment Posting
We automate what is unarguably the most labor-intensive activity in pharmacy billing services. From cutting the time spent on data entry to streamlining manual payment postings, our solution will ensure that reimbursements are appropriately accounted on time.
Pharmacy Billing Process We Follow
We follow different processes for an A-rated generic drug, a brand-name drug, as well as a non-preferred drug. Since each of these areas require a specific billing approach, we ensure to customize the billing solutions that will minimize rejections and let us create a custom statistical and analytical reports for pharmacies.
01. Documentation
We work with your team to complete documentation ahead of pre-authorization
02. Eligibility Verification and Billing
We effectively check the eligibility of your clients by verifying their healthcare and payment records before billing Medicare, Medicaid, or commercial insurers of your client
03.Plan Review & Authentication
After billing, we verify the Medicare part D to ensure the patient is covered under the right plan. Eligibility requirements and corrections (if any) are communicated to the client
04. Billing Statements
We provide comprehensive electronic billing statements on pharma services availed by the patient. Additionally, we update records on billing services
05. Refill Management
We service refill requirements and dispatch timely reminders to patients on refill
06. Payment Capture & Posting
We work relentlessly to smoothen the payment capture process. The payment released by insurers are quickly posted into the client’s account
Why Choose Pharmacy Billing Services?
By pharma billing services, we work side-by-side with pharmaceutical companies like yours to determine challenges and requirements. In this way, we can provide pharmacy billing solutions that drastically improve collection and eliminate the risk of rejection. Our team of qualified billing experts is the reason behind our success stride. They possess the knowledge and expertise to deliver services on par with standards. Get the following benefits by outsourcing pharmacy billing services to us –
- Data Security
Dealing with a prodigious amount of confidential clinical data is no easy task. So, we have in place a string of physical and digital security measures that would allow us to handle your client data in a secure manner.
- High Accuracy and Quality Service with Fool-proof Documentation
We have immense experience and knowledge of working with several types of documentation and guidelines. We can define your processes and requirements for different drug categories comprehensively. We can help you minimize rejections, as we have a thorough knowledge of healthcare billing processes for various types of branded/non-branded drugs and A-rated generic drugs
- Short Turnaround
With experienced professionals on board, we passionately work under tight deadlines to give you faster and quality results. Save up to 35% time by pharmacy billing services and get custom reports (statistical and analytical) as per your needs to facilitate faster decision-making
- Scalability
By working with an offsite pharmacy billing services provider like, you can scale your service by 85% and get the best. We are a forward-focused company that is devoted to providing services that not only solve existing problems but also future ones.
- Pocket-friendly Pricing Options
You can save close to 35% of costs. Our cost-effective pharmacy billing services will help eliminate errors in the documentation and filing without compromising the speed of service.
- Single-point Contact
Our service is incomplete without a dedicated project assistant who will be assigned to you from inception to completion. If you have concerns or queries at any point in time let us know through the subject matter expert appointed for your project
- Physician Billing Services Software
To speed up reimbursement we use automated tools to swiftly perform less critical tasks such as data capture from your end. The software we use for billing management are as follows –
- Experienced Team of Pharmacy Billing Experts, and Medical Coders
Our resources comprised of pharmacy billing specialists and medical coders are well-trained in pharmacy medical billing and compliance audits. They have knowledge of various drug code categories (CPT codes) as well as on different coding guidelines to reduce coding and billing errors
- Modern Infrastructure
Our infrastructure is configured to take on complex tasks such as document verification, billing, claims filing, and account reconciliation in a safe manner. We have tech teams who work delicately to ensure safe and fast operation of our system without downtime
- Secure Data Exchange
One of the most challenging aspects of pharmacy billing is end-to-end document transfer. We go the extra mile to make that process simple and secure. We use VPN and secure FTP to facilitate the smooth exchange of project files without interruption
- Round the Clock AvailabilityTo reach us all you need to do is ring us on our helpline, or send an email, or chat with our experts via online chat service. No matter what method you choose we can be reached 24/7 to get local time zone support
- Fewer Claim Rejections
We can help you minimize rejections, as we have a thorough knowledge of healthcare billing processes for various types of branded/non-branded drugs and A-rated generic drugs
- Customized Reports
We offer custom reports (statistical and analytical) as per the needs of our client to facilitate faster decision-making