A Pharmacist’s Guide to Billing for MTM Services: Common Pitfalls and How to Avoid Them
You spend 20 minutes with a patient, reviewing their “shoebox” of medications. You catch a duplicate therapy, you fix an adherence issue, and you explain exactly why they need to take their statin at night. The patient leaves happy and healthier. But when you look at the bottom line for that interaction, the revenue is […]
RxBB Achieves SOC 2 Type 1 Certification: Setting a New Standard for Pharmacy Data Security
In the pharmacy business, trust is everything. Your patients trust you with their health, and you trust your partners with something equally sensitive: your data. As pharmacy owners, we live in a world of strict regulations. We worry about HIPAA, we worry about PBM audits, and we worry about the ever-growing threat of cyberattacks. When […]
A Pharmacist’s Guide to Credentialing: How to Finally Bill as a Provider
As a pharmacist and pharmacy owner, you are one of the most trusted healthcare experts in your community. You perform clinical interventions, manage chronic diseases, and provide life-saving advice every single day. And you do almost all of it for free. I’ve been there. I remember the deep frustration of knowing I could solve a […]
Pharmacy Revenue Beyond Prescriptions: Services That Pay
It’s the question that keeps pharmacy owners up at night: “How do I stop losing money?” As a pharmacist and former owner, I know that feeling in the pit of my stomach. You look at the P&L sheet, and the math just doesn’t work. DIR fees are out of control, dispensing margins are thinner than […]
How to Maximize Reimbursement for Vaccines: Billing for Product & Administration
Vaccine season. For a pharmacy owner, it’s our Super Bowl. The phones ring off the hook, the line at the counter is long, and the “flu shot” sign in the window is your best marketing tool. It’s a massive public health victory. But as a business owner, I have to ask the question that kept […]
How to Launch MTM in Your Pharmacy: A 5-Step Guide for Owners
As a pharmacy owner, you’re on the front lines. You see the patients with multiple chronic conditions, the “shopping bags” full of prescriptions from different doctors, and the genuine confusion in their eyes. You have the clinical knowledge to intervene, optimize their therapy, and prevent costly hospital visits. But for decades, our system has only […]
Beyond the Counter: A Pharmacist’s Guide to Launching New Revenue Streams
As a pharmacy owner, you’re doing more work for less pay. It’s a story I know all too well. I remember standing in my own pharmacy, looking at the reimbursement statement, and feeling that all-too-familiar frustration. DIR fees, PBM clawbacks, and razor-thin dispensing margins… it felt like the system was built for us to fail. […]
The Pharmacist-Owner’s Guide to Medical Billing & Reimbursement
As a pharmacy owner, you’re an expert at navigating the world of prescription billing. You know the ins and outs of the PBM system, you wrestle with DIR fees, and you manage the daily reality of shrinking reimbursement margins on the dispensing side. I’ve been there. I remember the frustration of looking at a patient’s […]
Why Are Your Claims Denied? A Pharmacist’s Guide to CPT Modifiers
Did you know? Industry data shows that up to 1 in 5 claims for clinical services are initially denied. Even worse, it’s estimated that over 60% of those denials are for simple administrative or coding errors. As a pharmacy owner who has navigated the painful transition to medical billing, I know that feeling all too […]
The Top 7 Pharmacy Billing Mistakes Costing You Revenue (And How to Fix Them)
Pharmacy owners wear many hats — from managing staff and inventory to compliance and patient care. Yet billing is one of the most critical (and often overlooked) parts of running a pharmacy. A small billing mistake can trigger denied claims, lost revenue, audits, or even compliance risks. In this article, we’ll walk through the top […]
