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- Auditing the Complexities of Medical Billing for Clinical Services and Specialty Pharmacy
The pharmacy industry’s move towards a clinical care delivery model requires new capabilities that drive revenue by enabling successful medical billing for clinical services and specialty pharmacy. This shift demands a revenue cycle management workflow that enhances efficiency and effectiveness while also addressing payor reimbursement conditions.
This straightforward eBook walks you through a revenue cycle workflow GAP analysis and examines the capabilities your pharmacy should leverage to meet your pharmacy’s goals.
Inside, we explore:
- Detailed patient intake and documentation requirements
- New payor claim submission requirements
- The increase of denials you can expect and the importance of having an appeals strategy
- New patient billing and collection processes
- The need for payment reconciliation down to service level
- Comprehensive financial reporting that will drive data-driven decision-making
Download now to discover what you need to achieve medical billing success.