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How to Mitigate Your Hospitals Pharmacy Audit Risks and Avoid Overpayments
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2013 Pharmacy Coding & Billing Combo
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2012 Pharmacy Series: Protect Your Revenues & Prevent Auditor Action
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In the last four months alone, the OIG has released 11 audit reports that target hospital billing patterns for outpatient drugs the result identification of nearly $12 million overpayments. These overpayments were directly related to incorrect application and reporting of billing unit multipliers (billable units), lack of supporting medical necessity and poor system controls at the contractor or provider level. Widely used pharmaceuticals including Herceptin, Remicade and Lupron are being targeted by the OIG, so ramifications could be severe if your claims are not accurate.
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The OIG, RACs, and other government auditors are stepping up
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From a reimbursement and compliance perspective, the hospital pharmacy landscape has changed significantly in recent years.
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2013 Pharmacy Drug Coding and Billing Strategies
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2013 Revenue Capture Guide for the Pharmacy
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2012 Pharmacy Series: Pricing Trends and Pitfalls
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Heading into 2013,
hospitals face many questions that have a direct bearing on their pharmacy
revenues. Among them: Which code changes does CMS have in store?
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Protect vital revenue by following Medicare rules
At MedLearn Publishing, we see how common coding and billing
mistakes can eat away at Medicare payments for pharmacy services and supplies.
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How do you arrive at drug pricing decisions that protect your hospitals bottom line while addressing regulatory requirements and patient expectations?
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2012 Pharmacy Series: Already in 340B? Compliance Essentials
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2012 Pharmacy Series: Considering 340B? Crucial Questions to Ask
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2012 Pharmacy Series: Building a Case for Medical Necessity
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Your hospital made the decision to participate in the 340B Drug Pricing Program, paving the way for reduced drug procurement costs. But, as you have discovered, participation comes with a price.
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The 340B Drug Pricing Program has expanded, meaning that more and more hospitals are procuring drugs at substantially reduced costs. This certainly benefits patients, many of whom are from lower income populations.
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Every day, physicians provide excellent patient care, prescribing drugs in a safe, efficacious manner. And every day, many of these same physicians do not support their drug administration with correct and/or complete documentation.
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2012 Pharmacy Series: Avoiding Costly Billable Unit Issues
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MedLearnDrugCodes.com - Medi-Cal X codes module
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MedLearnDrugCodes.com (Single User)
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Hospital pharmacies can count on continuous change. You must constantly deal with new products, new strains, new dosages and more.
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Medi-Cal X codes module
If you bill California's Medi-Cal program, you now have an easier, more efficient way to crosswalk Medi-Cal drug specific X codes to the corresponding National Drug Codes (NCDs), as required effective April 1, 2009, and to HCPCS/CPT drug codes.
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Eliminate billing errors, protect your revenue stream
Many hospitals, clinics and other providers leave thousands of dollars behind every day, often because they don't accurately translate drug dosages into billable units according to HCPCS code descriptions.
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Pharmacy Compliance Manager
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Depend on this quick-reading compliance newsletter
Wouldn't it be great if you had a practical, quick-reading resource to keep you current with federal rules and regulations affecting hospital pharmacies? That resource is right here!
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