Monitor ongoing audits, conduct risk vs. result analysis, set audit prevention triggers, and create and manage audit events.
Streamline contract management to support compliance, verify prescriptions are paid at contracted rate, and perform impact analysis.
Seamlessly integrate with multiple pharmacy management systems for a smooth and efficient implementation.
For pharmacies, the challenges of managing third-party receivables and addressing constantly changing industry requirements is crucial and complex.
A: This solution brings clarity and transparency to third-party submission and reconciliation, helping to improve claims payment accuracy and providing insights to minimize losses, manage aging, and grow your business. It streamlines the payments, reconciliation, and collections lifecycle, ensuring better financial outcomes.
A: The solution offers comprehensive support for managing claims and audits. It includes features like outsourcing claims chasing to a dedicated collections analyst, tracking MAC appeal submissions with powerful reporting, and monitoring ongoing audits with risk vs. result analysis. This helps free up pharmacy resources and ensures compliance and efficiency in managing claims and audits.
A: The solution is designed to integrate seamlessly with multiple pharmacy management systems. It offers an easy implementation process, allowing you to get up and running quickly. This ensures that you can start benefiting from improved revenue cycle management without significant disruption to your existing operations.
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