Claims Processing & Reconciliation
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CPCSI Consulting – Your One Stop Resource for Third-Party Billing Support
Currently billing third-party payers for compounds? New to third-party billing because you realize that you have missed something? Currently in violation of your third-party contract because you are charging cash for your covered customers? CPCSI Consulting consists of Lawyers, Pharmacists and former PBM Auditors that work together to teach your pharmacy to properly bill third parties for compounded prescriptions. Our consultants have the experience to assist in maximizing your pharmacy’s profitability potential, while establishing a solid foundation for audit success. DO IT RIGHT! If you bill third parties, it’s a fact ... you will be audited. As a CPCSI member, our consultants will provide you and your staff the guidance needed to properly follow the PBM contracts, manuals and updates. Our consultants also assist with audit reviews, responses and disputes with PBMs. CPCSI will give your pharmacy the competitive advantage of successfully billing third-parties correctly.
Emdeon Pharmacy Services
Claim Management, Clinical Services, Medical Claims Processing
Emdeon simplifies the prescription process and provides the tools and services necessary for increasing efficiency, accuracy and profitability. We maintain a focus on delivering exceptional service, innovative technology and industry expertise to customers ranging from national chains to independent pharmacies. In addition to our best-in-class claims switching network, we offer a wide range of services such as: ePrescribing Clinical Services, Patient Loyalty Programs, Pharmacy Benefit Administration, Traditional and Electronic Coupon Programs, DME and Immunization Claims Processing, Pre and Post Editing.
Proven Reliability from Accountability
Pharmacies make a profession by delivering healthcare to their patients. They make a living by what they receive for those services—over 90 percent of that coming from their patients’ third party insurance. What can be a cumbersome, complicated, and exhaustive process of reconciliation and bookkeeping becomes at once easier, clearer, and more straightforward when pharmacies engage AbsoluteAR Services as their third party reconciliation partner. By its very design—created with input from pharmacists, CPAs, and industry experts—AbsoluteAR exists to provide pharmacies with state-of-the-art technology, accurate reconciliation services, accessible data, and outstanding customer service—all of which have become trademarks of our service. The AbsoluteAR suite of services includes reconciliation, submission, chasing claims, contract management, and reimbursement analysis—comprising a complete solution for your third party department. The clear frontrunner in the pharmacy industry for complete reconciliation services, AbsoluteAR has been selected by over 52 retail pharmacy chains and hundreds of independents as their solution for third party reconciliation and submissions and has been recommended by leading auditing firms across the nation.