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Optimize pharmacy revenue cycle with clear, transparent third-party submissions.

A suite of pharmacy revenue cycle management solutions that bring clarity and transparency to third-party submission and reconciliation and provide insights to help improve financial performance. Our revenue cycle management solutions help pharmacies minimize losses, manage aging, and grow their business by improving the payments, reconciliation, and collections lifecycle.

  • Help Improve claims payment accuracy through improved revenue cycle management.
  • Free pharmacy resources by outsourcing claims chasing to a dedicated collections analyst to free pharmacy resources.
  • Track MAC appeal submissions, correspondence, and gains, explore MAC trend summaries and exceptions with powerful, multi-level reporting.
  • Integrate with multiple pharmacy management systems, and get running quickly with an easy implementation process.
  • If any member information is collected, it will only be done with the member's explicit consent.

Audit Management

Monitor ongoing audits, conduct risk vs. result analysis, set audit prevention triggers, and create and manage audit events.

Contract Compliance Management

Streamline contract management to support compliance, verify prescriptions are paid at contracted rate, and perform impact analysis.

Financial Performance

Seamlessly integrate with multiple pharmacy management systems for a smooth and efficient implementation.

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Optimize pharmacy revenue cycle management

For pharmacies, the challenges of managing third-party receivables and addressing constantly changing industry requirements is crucial and complex.

Frequently Asked Questions

Q: How can this revenue cycle management solution improve my pharmacy's financial performance?

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.

Q: What kind of support does this solution offer for managing claims and audits?

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.

Q: How easy is it to integrate this solution with my existing pharmacy management system?

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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