Adjudication problems occur when the insurance company denies paying a claim. Pharmacies are often caught in the middle of this situation, and it could also be a problem for in-office medication dispensing systems.
At First Coast Health Solutions, we offer a system designed to prevent or limit such a problem from happening in your healthcare facility or clinic through the following ways:
Use of electronic facilities for the transaction
It’s hard to imagine that there are still facilities using paper or manual transactions today, especially with their POS system when it’s the modern age, but this could still be seen in rural or suburban regions, even in progressive countries like the U.S.
Like most retail outlets, electronic transactions enable in-office drug dispensing facilities to allow credit and debit card purchases. The healthcare facility or clinic may even set up an online prescription claim where details like the patient’s identity, the drug prescribed, the quantity prescribed, and the doctor who prescribed it are included, along with the payment information.
While this may be an extra process, providing these details can reduce the financial risks, especially in pharmacy claims adjudication. It’s also much more streamlined than keeping track of the records with paper.
Use of an NCPDP 5.1 system
The National Council for Prescription Drug Programs (NCPDP) determines the standards for electronic healthcare transactions. It covers prescription, dispensing, managing and monitoring, and payment of pharmacy services.
Having an in-office medication dispensing system accredited by the NCPDP will easily allow your clinic to factor in the reimbursement amount, even if the payer has yet to release this. Always keep in mind that a reimbursement is a revenue. Since every clinic and medical practice has different needs, we offer customized electronic solutions that will surely expedite the revenue cycle.
This process provides reliable, real-time pharmacy claims adjudication that will limit any potential headache and hassle in accounting and bookkeeping. This system also allows claims experts to quickly look for missing data or information to solve the adjudication problems that may arise in a patient’s insurance.
Use of SureScripts™ certified E-prescribing solution.
SureScripts is an information technology provider that has been servicing the industry since 2001 by establishing a trusted health information network for e-prescriptions. This network ensures collaboration of different organizations in healthcare and pharmacies or marketplace.
Because SureScripts offer prior authorization of electronic transactions, which may be efficiently completed during the patient’s visit to the healthcare facility or clinic, keeping track and managing the clinic’s revenue stream becomes easier.
Learn more about FCHS and the benefits of a drug dispensing system to your clinic
First Coast Health Solutions (FCHS) is a leading national provider of full-service in-office physician dispensing software. We are one of the best medication dispensing companies in the country. We dispense only FDA approved pre-packaged medications and provide doctors with a cutting-edge, but simple to follow, web-based dispensing system. Our priority is to promote the establishment of a medical environment that is fully compliant and delivers complete quality patient care.
Do you want to upgrade how your practice handles prescriptions? Look no further! Our in-office medication dispensing system comes with much more than you can expect!
To find out more about our programs, take a look at our website. Alternatively, contact us in the way that best suits you:
- Call us at 904-350-1155, or 904-350-1157
- Send us an email: info@firstcoasthealthsolutions.com
- Fill in our online contact form
- Drop us a visit: First Coast Health Solutions, 211 North Liberty Street, Jacksonville, FL 32202, USA
The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.
