Software
MedRx™
A solution for pharmacies that want to improve their medical-claims billing efficiency, revenue, and customer satisfaction.
OptimizePharmacy Billing and Boost Revenue
- Connect to a broad network of commercial and government payers directly from your pharmacy-management system to bill medical claims.
- Use advanced, front-end editing capabilities to help prevent denials and accelerate reimbursement.
- Improve denial and appeal processes for DME claims to recover revenue faster and to help prevent future DME denials; specialists manage physician and pharmacy outreach to obtain compliant documentation.
- Access real-time eligibility information, including for Medicare Part B, Medicaid, and commercial plans, to determine coverage for immunizations and DME supplies and rentals.
- Receive messaging prompts at the point of service when a customer is eligible for immunizations, driving sales and satisfaction; receive prompts when your DME pricing is below a plan’s allowable amount.
- Optimize compliance and audits by engaging our specialists to obtain physician records and completed documentation and to manage claims to final determination.
Drive Engagement, Sales, and Claim-Management Efficiency
Providing Measurable Value
30k
+
Pharmacies enrolled
89
%
Average audit success rate
99
%
Overall Medicare payment rate
Our outcomes
Resources and brochures
Video
Medicare Audit & Documentation Compliance Pharmacists and pharmacy staff: learn how to be better prepared for an audit while earning Medicare Audit Compliance continuing education credit (CEC).
PRODUCT SUPPORT
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