Understanding Specialty Medication Claims Processing

Infusion Center and Provider-Based Infusion Suites, if you didn't know already, CMS (Medicare) updated the Medicare Claims Processing Manual recently for how to bill zero charges claims for drugs provided at no cost to the provider. WeInfuse The link to the updated provider manual is below along with the PDF CMS is providing to your local MAC https://lnkd.in/gWYw6pDr https://lnkd.in/gGY9ADqu

Prescription Doesn’t Always Mean Safe When medications interact dangerously, the results can be devastating, especially when a healthcare provider fails to catch the risk. Our latest blog explores the dangers of drug interactions and what patients need to know.Read more: https://lnkd.in/gyWdDirf If you’ve been harmed by a medication error, McKeen & Associates is here to help. #DrugInteractions #MedicationErrors #MedicalMalpractice #PatientSafety #McKeen&Associates

As an adjuster, the medications in a claim can tell you more than you think. Our latest drug trends analysis highlights the differences you’ll see based on claim age and injury type, points out the drug classes that matter most, and calls out the high-impact prescriptions that deserve a second look. It also tracks shifts in opioid management that continue to influence outcomes. Having this context gives you a clearer view of why certain medications show up in your claims and helps you make more confident decisions for the injured employees you support. Get the full report: https://lnkd.in/giU7X2aa

Sometimes the smallest thing makes the biggest difference in your pharmacy. A simple thank you card can set you apart, build trust, and create real connections with your patients. It’s not just about being nice—it’s about growing your pharmacy and building loyalty in your community. 👉 Watch here: https://lnkd.in/ds4ac5tE #diversifyrx #independentpharmacy #localpharmacy #communitypharmacy #smallpharmacyowner #smallbusinessowner #PharmacyTips #PharmacyGrowth #ThankYouCards

Sometimes the smallest thing makes the biggest difference in your pharmacy. A simple thank you card can set you apart, build trust, and create real connections with your patients. It’s not just about being nice—it’s about growing your pharmacy and building loyalty in your community. 👉 Watch here: https://lnkd.in/eUeSh8mE #diversifyrx #independentpharmacy #localpharmacy #communitypharmacy #smallpharmacyowner #smallbusinessowner #PharmacyTips #PharmacyGrowth #ThankYouCards

Did you know Navigator Healthcare Inc. offers a pharmacy solution? Tune in below to our interview with Patrick J. Burns to learn how our Safe Use Now program focuses on medication safety, supports better patient outcomes, and improves ROI. #BeyondNavigation #NavigatorHealthcare #RXSolution #PharmacySolution #WholePersonFocus

Sometimes the smallest thing makes the biggest difference in your pharmacy. A simple thank you card can set you apart, build trust, and create real connections with your patients. It’s not just about being nice—it’s about growing your pharmacy and building loyalty in your community. 👉 Watch here: https://lnkd.in/e_Nm6Pak #diversifyrx #independentpharmacy #localpharmacy #communitypharmacy #smallpharmacyowner #smallbusinessowner #PharmacyTips #PharmacyGrowth #ThankYouCards

Steve Brauer of Variety Benefits (Scottsdale, AZ) explains why the new $2,000 Medicare drug cost limit is more important than most people realize. “It used to be $8,000. But it’s not just a flat cap — your prescriptions must be on the plan’s formulary to count. That’s why working with a knowledgeable, independent broker is crucial.” He also notes that some plans without deductibles give you a $590 head start toward that cap — but few people are told that. 👉 Get in touch with Steve: https://lnkd.in/eXhsdvq3 💡 Read more: https://lnkd.in/ezFcTqJq ❓ Ask your own question: https://lnkd.in/eqF5sWcF #MedicareInsight #HealthcareCoverage

💊 Better medication adherence is better for business because healthier members mean less spend. CVS Caremark is reinventing pharmacy with more ways your members can get on, stay on and manage the medications they need to stay healthier. Learn more: https://cvs.co/486DgrV #CVSCaremark #MedicationAccess #MedicationAdherence #CostControl #TeamCVS

Understanding every piece of the 340B Program is key to maintaining accuracy and compliance. The Health Industry Number (HIN) is a critical part of the system, ensuring drugs reach the correct covered entity or contract pharmacy, chargebacks are properly tracked, and program integrity is preserved. By linking facilities and pharmacies accurately, HINs help reduce errors and streamline communication across the 340B network. We're here to help! https://bit.ly/4mhULZR #340B #HealthcareCompliance #FQHC #PharmacyLeadership #CommunityHealth