Optimize your revenue cycle management: Taking charge of your unpaid medication claims

▤ Summary

There’s no understating the impact that delayed or denied claims can have on your organization’s bottom line – particularly claims in which clinicians at hospitals and health systems administer medication as part of the treatment plan. One way to help confirm claims are being adjudicated on time and error-free is an automated solution to help eliminate guesswork and reduce human error. If the hospital billed a claim containing a particular NDC on a service line and it was later discovered that there was no corresponding drug purchase of the same NDC, the claim would be denied and/or the organization would face consequences in the event of an audit. To avoid these “duplicate discounts,” Claims Manager Plus automatically flags those drugs that were purchased on 340B and adds a modifier (according to the individual state requirements), to help ensure that the 340B drugs are identified when billing Medicaid. To discover more about how the right technology can help you improve efficiency and expedite claims adjudication, click here.

▦ Linked Companies

The Craneware Group

$50M to $100M