“I Got a Bill!” How to Handle Patient EOB Confusion When Billing Medical Plans as a Pharmacist
I hear from concerned pharmacists a lot on this topic, and I am hoping this blog post will help you and your concerned customers understand it better. You just successfully launched a new clinical service at your pharmacy—perhaps a comprehensive medication management session, a point-of-care test for flu or strep, or a travel health consultation. […]
The Top 7 Pharmacy Billing Mistakes Costing You Revenue (A National Guide)
If you are an independent pharmacy owner, you know the feeling. You spent 20 minutes counseling a patient, administered a vaccine, or performed a point-of-care test. You did the clinical work perfectly. But when the payment comes in (or doesn’t come in), you realize you’ve been paid $0. Or worse, you’ve been paid a fraction […]
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 […]
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 […]
