Pharmacists have paperwork, too
Pharmacies must constantly adapt to changing demands from the insurance companies and government agencies that fund so much healthcare.
Inaccurate patient information and improperly coded claims are just two of the reasons why claims are denied.
Successful pharmacist billing practices rely on technology and attentive employees to collect reimbursements for claims.
The process can be so complicated that many pharmacies hire a person to focus on nothing but billing and coding.
The pharmacy must develop a tracking system that accurately documents the services provided to each patient, updates changing insurance reimbursements, and follows medical billing procedures. The best system makes prompt claim submissions and accurate coding, and functions well with appeals of denied claims.
Time lags complicate many reimbursements. Even to be credentialed to receive payments from a government agency or an insurance company can take eight weeks or more.
A pharmacist may be required to show proof of license, undergo a background check, carry malpractice insurance and pass other hurdles before being authorized.
At Drugs & More our friendly, reliable staff answers your health questions and often can provide an over-the-counter solution to your problem.