MedAxis360 for Physicians
Pharmacy Billing Services
Specialized billing services for pharmacy services. Expert handling of prescription claims, prior authorizations, and pharmacy coding.
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Getting Started
Specializing in pharmacy billing services, we provide comprehensive expertise in managing the diverse billing needs of pharmaceutical services - from prescription claims processing to prior authorizations and insurance coordination.
Our tailored billing solutions address the unique challenges faced by pharmacy services, optimizing reimbursement processes and strengthening financial performance across independent pharmacies, chain pharmacies, and specialty pharmacy providers.
As pharmacy services evolve with value-based programs and quality measures, our billing specialists ensure accurate prescription claims processing and documentation for both standard medications and specialty pharmaceuticals, including proper prior authorization management.
This allows your pharmacy to maintain focus on providing exceptional patient care while we secure your revenue stream through detailed billing management and regulatory compliance.
Connect NowMedical Billing At A Glance
Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.
First Pass Resolution Rate
Percentage of claims paid on the first submission.
Average Days to Payment
Average number of days it takes for claims to be paid.
Net Collection Rate
Percentage of total charges that are collected.
Average Denial Resolution Time
Average number of days taken to fix and resolve a denied claim.
Average Claims Submitted Per Month
Volume of claims submitted.
Staff Productivity Rate
Claims processed per biller per day.
Pharmacy Billing Services
Maximizing claim efficiency and compliance for superior revenue management
Pharmacy billing services provide comprehensive revenue cycle management for pharmacies, from prescription claims processing to insurance coordination and patient billing. This specialized field requires expertise in handling pharmacy-specific coding, prior authorizations, and regulatory compliance.
Prescription Claims Processing: Efficient handling of prescription claims through various insurance networks and pharmacy benefit managers (PBMs).
Prior Authorization Management: Expert management of prior authorization requests to ensure timely medication approvals.
Mastering Every Code for Pharmacy Billing Specialty
Our expertise spans the full code range, ensuring precision and compliance in every claim we process.
Prescription Codes
NDC Codes
Prior Authorization
Modifiers
Download Your Pharmacy Billing Guideline Here
DownloadWhy Choose Us?
Analyze Practice & Benchmark: Data-driven analysis to compare and enhance your pharmacy's performance.
Practice Documentation SOP: Standardized operating procedures for seamless pharmacy documentation.
Measure Results Consistently: Continuous monitoring to deliver reliable and consistent results.
