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Pharmacist assisting a woman with prior authorization at the counter

Outsourcing LTC Pharmacy Billing: Easing Admin Load for Providers

For those of you working in long-term care (LTC), you know just how much time is spent on billing and paperwork. Every interaction with insurance providers, every correction, and each submission cycle takes valuable time away from patient care. Pharmacy billing in LTC settings can be a maze of tasks, from verifying insurance claims to managing compliance, that adds stress to already full schedules. And for those of you in administrative roles, it can feel like the balance between billing

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Monica Michael

How to Secure Xifaxan Prior Authorization ?โœ…๐Ÿ’Š๐Ÿ“‹

How to Secure Xifaxan Prior Authorization ?โœ…๐Ÿ’Š๐Ÿ“‹ Read Article : https://staffingly.com/how-to-secure-xifaxan-prior-authorization-without-hassle/ Getting prior authorization (PA) for Xifaxan, commonly prescribed for conditions like irritable bowel syndrome with diarrhea (IBS-D) and hepatic encephalopathy, can be challenging. With Xifaxanโ€™s high cost and specific FDA-approved uses, insurers often require extensive documentation and proof of medical necessity before approving requests. In this video, we’ll guide you through each step of the PA process to help streamline your workflow and improve approval chances. ๐“๐จ๐ฉ๐ข๐œ๐ฌ ๐‚๐จ๐ฏ๐ž๐ซ๐ž๐: ๐”๐ง๐๐ž๐ซ๐ฌ๐ญ๐š๐ง๐๐ข๐ง๐ 

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arafat
A doctor applies a treatment to a patient's arm while discussing prior authorization for a necessary medication, likely under Medicare.

Understanding Lokelma Prior Authorization with Medicare

If you’re a healthcare provider working with Medicare patients who need specialized medications, youโ€™ve likely encountered prior authorization requestsโ€”often a time-consuming yet essential step. For high-cost medications like Lokelma (sodium zirconium cyclosilicate), which is used to treat hyperkalemia, Medicare requires prior authorization to ensure that the medication is medically necessary and the best option for the patientโ€™s condition. Lokelma is often prescribed to manage high potassium levels, particularly in patients with chronic kidney disease or heart issues, making it crucial

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Swapnil G
Doctor showing a digital image of a virus to a young patient and her mother, representing patient education and virtual support in healthcare.

How do virtual medical assistants integrate with healthcare software?

This will explore how VMAs work with healthcare software to enhance practice efficiency, improve patient care, and reduce the workload on in-house teams. Key Takeaways Secure Access: VMAs use HIPAA-compliant remote access to securely work within EHRs and other healthcare software, protecting patient data. Software-Specific Training: VMAs are trained in popular healthcare software systems, allowing them to perform administrative tasks as if they were on-site. Enhanced Efficiency: By handling routine tasks like data entry, insurance verification, and scheduling, VMAs free

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Monica Michael
Person typing on a keyboard with an insurance policy displayed on a computer screen, symbolizing insurance verification in healthcare revenue cycle management.

Insurance Verification and Its Impact on Revenue Cycle Management

Insurance verification is an essential aspect of revenue cycle management (RCM), ensuring that healthcare providers can receive timely reimbursements by confirming patient eligibility and coverage prior to service. When performed accurately, insurance verification reduces claim denials and streamlines the entire billing process, leading to a healthier cash flow. Staffingly offers specialized insurance verification services to support healthcare providers in optimizing their RCM and improving overall financial outcomes. Letโ€™s dive into the critical aspects of how insurance verification impacts RCM and

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Monica Michael
Doctor conducting a virtual consultation with a patient, representing the role of a Virtual Medical Assistant in healthcare

How a Virtual Medical Assistant Can Improve Healthcare Efficiency?

A Virtual Medical Assistant isn’t just a “nice-to-have” support role. For many practices, it’s becoming an essential part of providing high-quality patient care without burning out your team. In this case study, letโ€™s dive into what a VMA is, how they fit into a healthcare setting, and how they can truly improve efficiency by handling many of those time-consuming, behind-the-scenes tasks. Key Takeaways Time Savings: Virtual Medical Assistants handle routine tasks that otherwise eat up valuable time, allowing healthcare providers

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Monica Michael
A doctor explaining medication requirements to a patient, helping him understand the process for prior authorization under Medicare for a prescribed medication.

Why Medicare Needs Prior Authorization for Jardiance?

If youโ€™re a healthcare provider working with Medicare patients, youโ€™re probably familiar with the hurdles that come up around prior authorizations. When it comes to medications like Jardianceโ€”commonly prescribed for managing Type 2 diabetes and reducing cardiovascular riskโ€”prior authorization can be one of those critical hoops to jump through. Itโ€™s a high-cost, specialized medication, so Medicare often requires providers to demonstrate medical necessity and proper fit for the patientโ€™s condition. Here, weโ€™ll break down exactly what you need to know

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Swapnil G
Doctor holding icons representing healthcare services and medical scribing for patient documentation accuracy.

Is Medical Coding the Solution to Efficient Revenue Cycle Management?

As a healthcare provider, administrator, or billing specialist, youโ€™re already familiar with the critical role medical coding plays in your organization. Every diagnosis, treatment, and procedure must be accurately coded to ensure proper billing and reimbursement. But with the ongoing challenges of healthcare revenue cycle management (RCM), itโ€™s natural to wonder: can medical coding be the key to making the entire process more efficient? In this article, weโ€™ll explore how accurate medical coding supports revenue cycle management and whether it

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Monica Michael

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