High-volume prescription processing can turn your pharmacy into a three-ring circus. If your pharmacy serves long-term care facilities, you know that handling large volumes of prescriptions on schedule requires quick, clean order processing.

Every prescription requires a careful eye on policies, procedures, and detailed regulations. If you are managing growth, adding on new long-term care (LTC) homes, or acquiring another pharmacy, your challenge is even greater.

We help LTC pharmacies preserve revenue through the entire patient stay by ensuring proper claim processing and billing.

We review all documents arriving into your document management system, and sort in real-time based upon department and priority. This includes adding run-times or other annotations needed to ensure proper handling of the documents.

We will work side by side with your billing team to help manage the daily volumes of work, including intake registration, insurance eligibility, prior authorization, census maintenance, payment posting, and Medicaid pending status check.

We work the daily census documents received from the facilities, updating admissions, discharges, hospital leaves, bed holds, room changes, and coverage changes. They will also adjust claims already processed to ensure proper plans are being billed on the correct dates.

We will verify that a prior authorization is required, initiate and submit the request, follow-up on the status of the claim, and update your system. Our insurance verification team will confirm patient medical and pharmacy benefits with accuracy and quick turnaround times.