Keeping the Promise-to-Pay: Why Pharmacy Claims Reconciliation Is a Must
Thursday, 14 April 2022
What does it take to operate a pharmacy? First, you need a pharmacist. Second, you need a physical location to store and dispense medication. Third, you need a supplier to help you stock your shelves. And the list goes on. But what many pharmacists would not think to include on this list — and absolutely
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Why Independent Pharmacies Need to Reconcile Claims
Friday, 25 September 2020
Few things are worse than checking your balance and seeing a lower number than you expect. Two decades ago, the NCPA filed a report on the differences between amounts approved and amounts paid to independent pharmacies by third-party payers. They found that when there was a difference, the pharmacy lost an average of $20 per
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Perform Pharmacy Claims Reconciliation Like a Boss
Tuesday, 28 May 2019
According to the Henry J. Kaiser Family Foundation, pharmacies across the country filled 10.5 million prescriptions per day in 2018. Of those, only five percent were paid for without a third-party payer involved. That leaves 95 percent of the average pharmacy’s prescription revenue tied up with private insurance companies and government health insurance programs. That’s
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