# RxBB > Pharmacy Clinical and Billing software ## Posts - [Medi-Cal Billing Simplified for California Pharmacies: An Owner’s Survival Guide](https://rxbb.io/medi-cal-billing-simplified-for-california-pharmacies-an-owners-survival-guide/): If you own a pharmacy in California, the words “Medi-Cal transition” probably still raise your blood pressure. When the state transitioned all pharmacy claims to “Medi-Cal Rx” (Magellan), it was supposed to streamline the system. Instead, for many independent owners, it created a fragmented mess. You have one system for the drug product and a completely different, confusing universe for the clinical service. Here is the reality I see on the ground: California pharmacists are performing incredible clinical work authorized under AB 1114 (like hormonal contraception and smoking cessation) and AB 111 (test and treat). But when it comes time […] - [A Pharmacist’s Guide to Billing for MTM Services: Common Pitfalls and How to Avoid Them](https://rxbb.io/a-pharmacists-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 often… zero. For decades, medication therapy management (MTM) was something we did out of the goodness of our hearts. It was “part of the job.” But in today’s pharmacy economy, where dispensing margins are disappearing, you can no longer afford to work for free. MTM […] - [RxBB Achieves SOC 2 Type 1 Certification: Setting a New Standard for Pharmacy Data Security](https://rxbb.io/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 you hand over your billing and patient files to a partner, you aren’t just handing over paperwork; you are handing over the keys to your business’s reputation. That is why I am incredibly proud to announce that RxBB has officially achieved SOC 2 Type 1 […] - [A Pharmacist’s Guide to Credentialing: How to Finally Bill as a Provider](https://rxbb.io/a-pharmacists-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 patient’s medication problem, but having no way to bill for my time. Why? Because in the eyes of medical payers, a pharmacy is a “store,” not a “provider.” The key to changing that—to unlocking all the new pharmacy revenue streams we talk about—is a single, […] - [Pharmacy Revenue Beyond Prescriptions: Services That Pay](https://rxbb.io/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 paper, and you’re doing more work for less pay. The old model of relying 100% on prescription volume is broken. For pharmacies across the U.S., survival and success now depend on answering a new question: “What is my pharmacy revenue beyond prescriptions?” The good news […] - [How to Maximize Reimbursement for Vaccines: Billing for Product & Administration](https://rxbb.io/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 me up at night: Are you actually making money on all this work? Patients walk in every day asking, “What’s the flu shot cost with insurance?” or “Can I get my covid vaccine here?” They see ads for a “CVS flu shot” and assume it’s […] - [How to Launch MTM in Your Pharmacy: A 5-Step Guide for Owners](https://rxbb.io/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 paid us to “count and pour.” I’ve been there, looking at the razor-thin margins on the dispensing side, knowing my expertise was being given away for free during counseling. Medication Therapy Management (MTM) is the answer. It’s not just another clinical “to-do.” It’s a structured, […] - [Beyond the Counter: A Pharmacist’s Guide to Launching New Revenue Streams](https://rxbb.io/beyond-the-counter-a-pharmacists-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. We were counseling more, managing more complex patients, and doing more MTM “interventions” for free—all while our core dispensing revenue was shrinking. The truth is, the business model for local pharmacies has fundamentally broken. But the need for our expertise has never been greater. Your […] - [The Pharmacist-Owner’s Guide to Medical Billing & Reimbursement](https://rxbb.io/the-pharmacist-owners-guide-to-medical-billing-reimbursement-2/): 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 file, knowing I could provide a clinical service that would genuinely help them—like a comprehensive medication review or a point-of-care test—but having no clear path to get paid for my time and expertise. The PBM system was built to pay for a product. The medical […] - [Why Are Your Claims Denied? A Pharmacist’s Guide to CPT Modifiers](https://rxbb.io/why-are-your-claims-denied-a-pharmacists-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 well. You perform a valuable clinical service, you document it meticulously, you submit the claim… and two weeks later, you get a rejection notice. It’s pure revenue lost to paperwork. The most frustrating part? The denial often isn’t because the service wasn’t “medically necessary.” It’s […] - [The Top 7 Pharmacy Billing Mistakes Costing You Revenue (And How to Fix Them)](https://rxbb.io/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 7 pharmacy billing mistakes that are bleeding revenue from independent pharmacies — and how you can correct them. We’ll also weave in recent regulatory updates to keep you ahead of the curve. 1. Inaccurate or Incomplete Patient / Insurance Information One of the most basic […] - [Point-of-Care Testing (POCT) in California: A Practical Guide for Independent Pharmacies](https://rxbb.io/point-of-care-testing-poct-in-california-a-practical-guide-for-independent-pharmacies/): Why POCT matters now Point-of-care testing (POCT) turns quick diagnostic checks into immediate clinical action: faster care for your patients, a clearer pathway to treatment, and a meaningful new revenue stream for independent pharmacies. With clear state guidance in 2024–2025 and evolving Medi-Cal rules, now is the moment for California pharmacy owners to evaluate POCT as a strategic service offering.  1) What you must have before you start (checklist) Short version: get your CLIA waiver, register with California, confirm scope-of-practice, and stand up SOPs and staff training. 2) Which POCT services can a California pharmacy reasonably offer? Most community pharmacies […] - [What Is AB 144 and What the Law Means for California Pharmacies](https://rxbb.io/what-is-ab-144-and-what-the-law-means-for-california-pharmacies/): On September 18, 2025, Governor Gavin Newsom signed AB 144, a landmark piece of legislation designed to safeguard vaccine access in California. At its core, this law establishes stability and clarity around vaccine coverage, even as federal recommendations evolve. For independent pharmacies, AB 144 is more than just another regulation. It directly affects day-to-day operations, billing practices, patient counseling, and long-term business planning. In this article, we’ll break down what the law does, what it means for pharmacies, and the practical steps you can take now to adapt. Key Provisions of AB 144 1. Baseline Vaccine Coverage Insurance providers in […] - [Turning Patient Touchpoints into Revenue: A Guide for California Pharmacies](https://rxbb.io/turning-patient-touchpoints-into-revenue-a-guide-for-california-pharmacies/): Pharmacies in California are undergoing a fundamental shift. For decades, independent pharmacies relied on prescriptions as their primary revenue stream. But with shrinking margins and growing competition from national chains, relying solely on dispensing medications is no longer enough. The future lies in clinical services—turning everyday patient interactions into sustainable revenue opportunities. In this guide, I’ll walk you through how independent pharmacies in California can navigate billing for clinical services, understand the nuances of CPT codes, and implement tools that make invoicing and billing seamless. Why Clinical Services Are the Future of Independent Pharmacies Independent pharmacies have one major advantage […] - [WPE 2025 Recap: The Opportunity Independent Pharmacies Can’t Afford to Miss](https://rxbb.io/wpe-2025-recap-the-opportunity-independent-pharmacies-cant-afford-to-miss/): We just wrapped up an unforgettable experience at Western Pharmacy Exchange 2025, and we’re still feeling the energy and momentum from the event! The theme — Pandas! — added a playful flair, but the real highlight was the passion and hunger we witnessed from pharmacists across the board, all seeking new ways to grow and diversify in today’s evolving pharmacy landscape. One major theme that stood out? Diversification through clinical services and medical billing — what we like to call a Ray of Opportunity in Pharmacy. Session Spotlight: Getting Paid for Time via Medical Billing One of the standout moments of WPE 2025 was the session led by Dr. […] - [RxBB Advocacy in Action: Standing Up for Independent Pharmacies at the California State Capitol](https://rxbb.io/rxbb-advocacy-in-action-standing-up-for-independent-pharmacies-at-the-california-state-capitol/): At RxBB, we believe advocacy is just as critical as innovation. That belief came to life last week when our cofounder, Dr. Parth Parikh, represented the Indian Pharmacists Association (IPA) and California Pharmacists Association (CPhA) at the California State Capitol to champion Senate Bill 41 (SB 41). SB 41 is more than just legislation—it’s a direct challenge to the harmful practices of Pharmacy Benefit Managers (PBMs) that have long strained independent pharmacies. This bill aims to restore fairness, transparency, and viability to the pharmacy ecosystem. Dr. Parikh’s day started at 7:30 AM with a flight to Sacramento. What followed was […] - [How Does RxBB Help Pharmacies with AB1114?](https://rxbb.io/how-does-rxbb-help-pharmacies-with-ab1114/): AB1114 has opened new doors for independent pharmacies to expand their services and revenue. However, many pharmacies face challenges in navigating billing, documentation, and reimbursement processes. This is where RxBB steps in to simplify and accelerate success. Let’s explore how RxBB can help your pharmacy maximize the potential of AB1114. Start Right Away with Back-Billing Did you know that your pharmacy can retroactively bill Medi-Cal for vaccine administrations from as far back as 6-9 months? RxBB provides the tools and support to: Independent pharmacies have already recovered thousands of dollars through RxBB’s back-billing services, turning missed opportunities into tangible results. […] ## Pages - [webinar](https://rxbb.io/webinar/) - [Terms of Use](https://rxbb.io/terms-of-use/): By accessing this website, you agree to be bound by these Terms of Use, as well as any applicable laws and regulations. If you do not agree with these Terms of Use, you are not permitted to use this website. Use of Website Content The content on this website, including but not limited to text, graphics, images, and logos, is the property of RxBB Health, LLC or its content suppliers and is protected by United States and international copyright laws. You may not modify, copy, distribute, transmit, display, perform, reproduce, publish, license, create derivative works from, transfer, or sell any […] - [HIPAA Privacy Policy](https://rxbb.io/hipaa-privacy-policy/): At RxBB Health, LLC, we are committed to protecting the privacy and confidentiality of our patients’ personal health information (PHI) as required by the Health Insurance Portability and Accountability Act (HIPAA) and other applicable laws and regulations. This policy outlines our practices and procedures for safeguarding PHI and describes our patients’ rights regarding their PHI. Collection, Use, and Disclosure of PHI We collect and use PHI to provide quality patient care and carry out our business operations. We may disclose PHI to other healthcare providers, health plans, and certain government agencies for treatment, payment, and healthcare operations purposes. Patient Rights […] - [Book a Demo](https://rxbb.io/demo/) - [Sign Up](https://rxbb.io/sign-up/) - [Blogs](https://rxbb.io/blogs/): Blogs - [MTM-1.1](https://rxbb.io/mtm-1-1/) - [Webinar's](https://rxbb.io/webinars/): Live & On-Demand Pharmacy Webinars Stay ahead in pharmacy care and compliance with our curated selection of webinars. Whether you’re looking to optimize vaccine billing, understand Medicare changes, or improve daily workflow — these sessions are designed to help pharmacy professionals grow, earn, and stay compliant with confidence. Webinar’s Maximize Reimbursement with the R.A.P.I.D. Billing Framework Learn how to simplify vaccine billing using the R.A.P.I.D. Method™ — perfect for busy pharmacists wanting to boost revenue without added workload. Live Billing June 12, 2025 3:00 PM PST  45 mins View Details Optimizing Medicare Part D Claims in 2025 This session covers […] - [CPhA](https://rxbb.io/cpha/): Medi-Cal Medication Therapy Management Guide The California Pharmacists Association (CPhA) advocates for pharmacists being reimbursed for patient care beyond dispensing. In 2021, Medi-Cal began covering Medication Therapy Management (MTM) services for chronic conditions. CPhA has supported these efforts and is now providing a guide for members to become Medi-Cal MTM providers. About Medi-Cal MTM program What is Medi-Cal MTM? In order to participate in the program, a pharmacy must first be an approved Medi-Cal provider. If your pharmacy is not a Medi-Cal provider, you must submit an application through DHCS’s Provider Application and Validation for Enrollment (PAVE) portal for your […] - [EVM](https://rxbb.io/evm/): Efficient Vaccine Management Efficient Vaccine Management ensures seamless distribution, tracking, and administration of vaccines. It optimizes inventory, reduces waste, and enhances vaccination coverage. Get Started Simplify Patient Management Effortlessly Back-Billing & Revenue Recovery Recover missed revenue fast. RxBB identifies billable vaccine and clinical encounters from prior months, prepares compliant documentation, and helps submit retroactive claims so your pharmacy captures reimbursements you may have Multiple Vaccine Management Made Easy Effortlessly add and manage multiple vaccines for a patient in a single session. Streamline the vaccination process, save time, and ensure accurate record-keeping—all in one convenient step. Streamlined Multi-Appointment Scheduling & Pre-Visit […] - [Medi-Cal MTM](https://rxbb.io/medi-cal-mtm/): Medication Therapy Management, Redefined Discover how our Medication Therapy Management (MTM) services empower pharmacists to conduct and document comprehensive medication reviews for chronic diseases using the RxBB platform. Get Started Delivering value to insurers Claim Status Linked to Billing Codes Enhance clarity and transparency with real-time claim status tracking per billing code. This functionality ensures that each auto-generated billing code is directly associated with its corresponding claim status, offering a clear view of payment progress, approvals, or pending issues. Streamline billing workflows and reduce follow-up time with precise status visibility for every code generated. Streamlined MTM Quarterly Reports – Customizable […] - [MTM-1](https://rxbb.io/mtm-1/): Discover the Future of Medication Therapy Management (MTM) Imagine a system that streamlines MTM processes, saves time, and helps you focus on what truly matters—improving patient care. If you’re not leveraging MTM programs, you’re missing out on better results, satisfied patients, and a more efficient workflow. Discover the Future of Medication Therapy Management (MTM) Imagine a system that streamlines MTM processes, saves time, and helps you focus on what truly matters—improving patient care. If you’re not leveraging MTM programs, you’re missing out on better results, satisfied patients, and a more efficient workflow. But where do you start? Let us show […] - [Contact Us](https://rxbb.io/contact-us/): Request a Demo We’re happy to give you a personalized walkthrough with one of our experts. Get To know us. Learn More about RxBB can enhance your knowledge about pharmacy. See RxBB in Different Location. Choose a location to explore how RxBB adapts to various pharmacy. Get Started with RxBB. Unlock RxBB’s full potential for better pharmacy management. Get started today! Contact Us - [Home](https://rxbb.io/): Built for the Way Pharmacies Actually Work Purposefully simplifying your clinical and billing workflows—so you can focus on patient care. Book a demo Medication Therapy Management, Redefined Discover how our Medication Therapy Management (MTM) services empower pharmacists to conduct and document comprehensive medication reviews for chronic diseases using the RxBB platform. Book a demo Connect Everything. Manage Nothing RxBB integrates with your PMS, CAIR 2.0, drug databases, eligibility checks, fax systems, and more—so your workflows stay smooth, and your team stays focused. Book a demo Built for the Way Pharmacies Actually Work Purposefully simplifying your clinical and billing workflows—so you can focus on […] - [For Insurance Groups](https://rxbb.io/for-insurance-groups/): Empowering Insurers with Innovative Solutions for a Healthier Tomorrow A platform reshaping the landscape for insurers and risk groups, focused on driving outcomes, reducing risks, and enhancing healthcare excellence. Book a demo Delivering value to insurers Insights AI: A Visionary Approach to Health Opportunities This feature utilizes an AI-driven engine to evaluate and analyze health opportunities and goals. It generates actionable insights displayed on a simple dashboard, which can be easily understood and acted upon by any member of the care team. Enhanced Access to Care RxBB creates a micro network of Trained Pharmacist Network to provide care that is […] - [Features](https://rxbb.io/features/): Elevate Your Pharmacy Practice to Unprecedented Levels of Excellence Discover the Key Features and Capabilities That Establish RxBB as the All-Encompassing Solution Designed to Elevate Pharmacy Operations. Book a demo Cutting Edge Practice Management Tools Cutting Edge Features Meticulously designed to streamline clinical activities and enhance patient care. Back-Billing & Revenue Recovery Back-Billing & Revenue Recovery Recover lost revenue effortlessly with RxBB. Identify missed billing opportunities, ensure compliance, and submit retroactive claims with ease. Automated Encounter Detection​ Compliant Claim Preparation Seamless Retroactive Submission Online Booking Online Booking RxBB Appointment Booking feature revolutionizes scheduling for your pharmacy. With a user-friendly interface, […] - [Projects](https://rxbb.io/projects/): Projects All Post Biking Camping Hiking Surfing Green Fields for Biking December 24, 2021/No Comments Tolerably earnestly middleton extremely distrusts she boy now not. Add and offered prepare how cordial two promise. Greatly who affixed… Read More Summer in New Zealand December 24, 2021/No Comments Tolerably earnestly middleton extremely distrusts she boy now not. Add and offered prepare how cordial two promise. Greatly who affixed… Read More River Activities December 24, 2021/No Comments Tolerably earnestly middleton extremely distrusts she boy now not. Add and offered prepare how cordial two promise. Greatly who affixed… Read More Winter Travel Guide December 24, […] - [Services](https://rxbb.io/services/): Services Camping Procuring education on consulted assurance in do. Is sympathize he expression mr no travelling. Preference he he at travelling in resolution. So striking at of to welcomed resolved.  Long Walks Procuring education on consulted assurance in do. Is sympathize he expression mr no travelling. Preference he he at travelling in resolution. So striking at of to welcomed resolved.  Sport Events Procuring education on consulted assurance in do. Is sympathize he expression mr no travelling. Preference he he at travelling in resolution. So striking at of to welcomed resolved.  Car Ride Procuring education on consulted assurance in do. Is […] - [About Us](https://rxbb.io/about-us/): About RxBB: Shaping the Future of Pharmacy Excellence Simple, Fast & Tailored Exclusively for Pharmacies.
Learn more about our journey, mission, and the dedicated team driving pharmacy excellence. Book a demo About RxBB: Shaping the Future of Pharmacy Excellence Simple, Fast & Tailored Exclusively for Pharmacies. Learn more about our journey, mission, and the dedicated team driving pharmacy excellence. Book a demo Our Story: Pioneering Pharmacy Innovation At RxBB, our story is one of passion and commitment to revolutionize the landscape of pharmacy technology. Founded with the vision of simplifying and elevating clinical activities, we embarked on a journey to create […] [comment]: # (Generated by Hostinger Tools Plugin)