PHARMACY

Cardinal Health enhances its Reimbursement Consulting Services offering

BY Michael Johnsen

DUBLIN, Ohio — Cardinal Health recently enhanced its Reimbursement Consulting Services offering, which helps retail pharmacies ensure the accuracy of third-party reimbursement by identifying reimbursement errors and recommending strategies for correcting them, the wholesaler announced Tuesday.

According to the NCPA Digest, sponsored by Cardinal Health, independent pharmacies derive 92% of their revenue from prescription reimbursements. However, a number of factors can impact a retail pharmacy’s ability to ensure they receive the reimbursement they’re owed.

For example, a change in the average wholesale price of a specific medication can cause pharmacies to be reimbursed at an incorrect rate for that specific medication. Pharmacy technicians can enter incorrect medication quantities, causing the pharmacy to be reimbursed for a lower amount of medication than it dispensed. Pharmacies also often miss opportunities to recommend generic substitutions, which usually offer cost savings to patients and higher reimbursements for the pharmacy.

Cardinal Health’s Reimbursement Consulting Services addresses these challenges by reviewing data for all medications dispensed at a specific pharmacy, and flagging transactions that were inaccurately reimbursed. This service also provides access to bi-weekly phone consultations with a personal reimbursement advisor, who can help pharmacy owners understand which reimbursement errors can be corrected immediately through simply reversing and rebilling’ the claim, and which may require staff or other training to address over time.

Based on direct customer feedback, Cardinal Health recently introduced the following enhancements to its Reimbursement Consulting Services:

  • Users can now access reimbursement reports via an intuitive online portal;
  • Users can now access six new reports, three of which alert users of reimbursements that might cause specific types of audit risk. Other new reports include those that highlight a pharmacy’s highest profitability prescriptions or drug categories, and those that inform customers about changes in NDCs for specific medications;
  • Users can also choose Excel spreadsheet or PDF as their report format. This functionality allows users to sort or filter data based on a number of criteria, ranging from size of reimbursement opportunity to reimbursement claims by specific payor; and
  • Users who operate multiple stores can now also access reimbursement reports for each individual store, providing the opportunity to identify where additional, targeted training may be needed to ensure staff members understand how to avoid reimbursement errors.

 

 

keyboard_arrow_downCOMMENTS

Leave a Reply

No comments found

TRENDING STORIES

Polls

Which area of the industry do you think Amazon's entry would shake up the most?
PHARMACY

McKesson to showcase pharmacy solutions at the American Society of Health-System Pharmacists mid-year meeting

BY Michael Johnsen

SAN FRANCISCO — McKesson will be introducing hospital and health systems pharmacy leaders to new ideas and emerging solutions for their top issues at the American Society of Health-System Pharmacists Midyear Clinical Meeting 2013, which runs from Dec. 8 to 12. Organized under the theme “Learn, Network, Solve,” McKesson booth #849 will host solution demonstrations and live interviews, and pharmacy consulting experts will be on hand for one-on-one discussions designed to help pharmacy leaders drive better business health, the wholesaler stated.

“In addition to our exemplary distribution capabilities, McKesson is proven to bring material value to our hospital and health systems partners through pharmacy consulting,” stated Scott Miller, SVP McKesson Health Systems. “In today’s rapidly-shifting healthcare environment, hospital pharmacies are being forced to cut costs, improve efficiency and drive additional revenue. Our team of experts — comprised of former health system pharmacists — possesses the knowledge to identify opportunities, weigh alternatives and affect decisions to developing the appropriate course of action, working hand-in-hand with partners to seize the opportunities and achieve success.”

Attendees will have the opportunity to engage in one-on-one conversations with a McKesson Pharmacy Optimization consultant about the services available. And current McKesson customers will share their experience working with McKesson Pharmacy Optimization consultants. At McKesson’s booth, solutions to a number of pharmacy challenges will be spotlighted, including cost containment, 340B solutions, driving new revenue, achieving meaningful use, business insights, supply chain, ambulatory workflow and pharmacy workflow.

Software solutions that help pharmacy leaders increase the capture rate of discharge prescriptions and support medication adherence programs also will be highlighted. Experts will be available to explain technology solutions that combine pharmacy software, central fill and delivery services to support complex 340B and specialty programs.

 

keyboard_arrow_downCOMMENTS

Leave a Reply

No comments found

TRENDING STORIES

Polls

Which area of the industry do you think Amazon's entry would shake up the most?
PHARMACY

Bartell Drugs enters retail clinic arena

BY Alaric DeArment

SEATTLE — Bartell Drugs will open retail clinics at three of its stores under a partnership with a local health organization, the Seattle-based regional drug store chain said Monday.

Bartell said it would partner with Group Health Cooperative to open clinics at two stores in Seattle and one in the neighboring city of Bellevue, Wash., staffed by nurse practitioners from Group Health. The program is called CareClinic: Group Health at Bartell Drugs, or CareClinic for short, and the initial three clinics will open between January and March 2014.

"The CareClinics reflect our shared vision and commitment to customer service, innovation, improving health and wellness and community collaborations," Bartell chairman and CEO George Bartell said. "We see this as a continuation of Bartell Drugs’ vision to bring new products and services to our customers."

Services will be available to patients aged 2 and older and will provide care for minor illnesses and procedures like cold and flu, sinus infections, allergies, minor injuries, pinkeye, sore throat, headaches, head lice, ringworm, warts, sprains and strains, bronchitis, ear infections, urinary tract infections, diarrhea and intestinal infections.

Decisions of whether to expand the service will be based on how successful the initial three locations are, Bartell said.

 

keyboard_arrow_downCOMMENTS

Leave a Reply

No comments found

TRENDING STORIES

Polls

Which area of the industry do you think Amazon's entry would shake up the most?