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LTC Pharmacy Billing & “Buy and Bill”: Challenges & Solutions
If you work in long-term care (LTC) pharmacy billing, you’ve probably heard of the “buy and bill” model. But what does it actually mean, and more importantly, how does it impact how LTC pharmacies bill for medications? This model applies mainly to specialty medications, injectables, and high-cost drugs. However, it also adds another layer of complexity to an already challenging billing process. To better understand its effects, let’s break it down and see how it influences LTC pharmacies. Key Takeaways
William Brown
How to Fix Prior Authorization Delays in Long-Term Care Pharmacies
If you’ve ever dealt with prior authorization (PA) in a long-term care (LTC) pharmacy, you know how much of a headache it can be. It’s like trying to get past an overly cautious bouncer at a club—except instead of a fun night out, you’re just trying to ensure residents get their medications on time. Prior authorization is supposed to prevent unnecessary costs and ensure medications are appropriate, but in reality, it often leads to frustrating delays, excessive paperwork, and denials
William Brown
How Outsourced Medical Coding Enhances Accuracy in CT?
Let’s face it—medical coding isn’t the flashiest part of healthcare, but it is one of the most crucial. Especially in areas like Connecticut (CT), where healthcare providers juggle high patient volumes and tight compliance standards, even small errors in coding can lead to big headaches: denied claims, delayed payments, and regulatory issues. But here’s some good news—outsourced medical coding can be a game-changer. Key Takeaways: Outsourced medical coding reduces errors and improves claim acceptance rates. Specialized coding experts stay up-to-date
Emma Davis
How Are Virtual Medical Scribes Transforming Patient Care in Connecticut?
Let’s talk about something that’s quietly revolutionizing healthcare in Connecticut—Virtual Medical Scribes. If you’re a healthcare provider, you already know how much time documentation takes away from actual patient care. Between updating electronic health records (EHRs), jotting down clinical notes, and keeping up with compliance requirements, it can feel like you’re spending more time staring at a screen than connecting with your patients. But here’s the exciting part: Virtual Medical Scribes are stepping in to free up your time, reduce
Emma Davis
How Are Virtual Medical Assistants Transforming Healthcare in Alabama?
Healthcare virtual assistants are changing the game for medical providers across the United States, and Alabama is no exception. With an increasing demand for efficient patient care and strict regulatory compliance, these digital assistants are stepping in to handle essential administrative tasks. This shift allows healthcare providers to focus more on patient care while ensuring smooth operations. But why is Alabama such a hotspot for this innovation? And how exactly are healthcare virtual assistants revolutionizing medical practices in the state?
Sophia Wilson
Handling Prior Authorization for Diabetes Medications in Philadelphia
Navigating prior authorization for diabetes medications such as Trulicity and Freestyle Libre can be a complex and time-consuming process, particularly for healthcare providers in Philadelphia. Prior authorization for diabetes medications is required by insurance companies to ensure that these essential treatments are both necessary and cost-effective. Managing this process effectively is critical, as it ensures patients receive their medications without unnecessary delays, which is vital for both their health and the provider’s operational efficiency. Prior authorization for diabetes medications can
Monica Michael
How Telemedicine Supports Better Management of Asthma?
Asthma is a chronic respiratory condition that affects millions of people worldwide, requiring ongoing management to prevent flare-ups and improve quality of life. Telemedicine is revolutionizing the way asthma is managed by offering convenient, remote consultations, continuous monitoring, and personalized treatment plans. By leveraging digital tools and telehealth platforms, healthcare providers can offer more accessible and efficient care, making it easier for patients to manage their asthma from the comfort of their homes. Let’s explore how telemedicine is enhancing asthma
Olivia Miller
The Benefits of Telemedicine for Substance Abuse Recovery
Substance abuse recovery is a complex and often long-term process that requires consistent care, support, and monitoring. Traditional recovery programs often require in-person visits to treatment centers or counseling sessions, which can pose significant barriers for some individuals. Telemedicine has emerged as a powerful tool in breaking down these barriers and providing accessible, flexible, and cost-effective recovery options. Let’s explore how telemedicine is benefiting individuals in substance abuse recovery and transforming the way addiction treatment is delivered. Why Telemedicine is
Olivia Miller
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Virtual Medical Assistants
Insurance Verification
Prior Authorization (AI)
Medical Scribing (AI)
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Revenue Cycle Management
