Keeping the Promise-to-Pay: Why Pharmacy Claims Reconciliation Is a Must

pinky promise - pharmacy claims reconciliation
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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Is Your Pharmacy Prepared for an Audit?

digital calculator with colorful buttons
It’s a hard time to be a pharmacist. Community pharmacies are busier than ever, and ongoing issues from the COVID pandemic are making it hard to keep the shelves stocked and the pharmacy counter staffed. But those aren’t the only difficulties pharmacies are facing right now. In addition to pandemic worries and staffing issues, they
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Why Independent Pharmacies Need to Reconcile Claims

pharmacy claims - man using credit card with laptop
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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The Future of Pharmacy Claims Reconciliation

pharmacy claims reconciliation
Claims reconciliation is a necessity for small, independent pharmacies. As a pharmacy owner, you simply can’t afford to not reconcile your claims. Unlike large, big-box stores with corporate support, independent pharmacies rely on third-party reimbursements to keep the lights on and ensure their business thrives. Reconciling each claim accurately and efficiently is crucial for improving
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How You Can Create More Time for Your Patients (Infographic)

fds - more time in the day - infographic
During a recent webinar, we asked all the pharmacists in attendance what they needed more of during this challenging time. The answer was nearly unanimous: Time. Pharmacists want more time with their patients. They want more time for training and working with their staff. They want more time to keep up with the business end
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Perform Pharmacy Claims Reconciliation Like a Boss

Perform Pharmacy Claims Reconciliation Like a Boss
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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