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Outsource Pharmacy Billing Services

Pharmacy Billing Services

Is your profit margin falling fast? Is the cost of billing on the verge of running off charts? With the ever-increasing competition, pharmacy billing presents myriad of new and complex challenges that can't be solved by using technology alone. If you want billing functions to be handled with agility and precision it is crucial to outsource pharmacy billing to specialists like us.

Outsoure2india is a cradle of world-class billing solutions. We offer advanced pharmacy billing services that will cleanse your spending and quicken the turnaround time. When you outsource pharmacy billing to us we ensure utmost accuracy in understanding third-party relationships, applying contracts, billing, and reconciliation. With the goal to bring better value to pharmacists, we streamline our solutions to take on the present and future challenges in pharmacy billing.

Pharmacy Billing Services We Offer

Think affordability, think O2I because we understand the nuances of customized pharmacy medical billing. From patient authentication to payments, we take care of the entire pharmacy billing cycle from start to finish. Our well-structured solutions will help pharmaceutical firms, pharmacists, and medical practitioners save big. When you want to outsource pharmacy billing services, here is what we have on offer -

  1. Patient Onboarding Data Capture

    Also known as admissions, this is the initial step in the pharmacy billing process. It is a resource-intensive process where we capture patient details such as medical history, medical reports, previous prescriptions, doctors visited, etc. Our professionals are specialized at executing this task with speed, confidentiality, and accuracy.

  2. Enumeration and Statistic Update

    Once the customer makes a medical claim, you need to document essential information such as diagnosis & treatment summary, doctor's contact details, change of physician (if any), patient reports, patient discharge summary, etc. Our enumeration services will accurately document the patient and payment records to speed up the medical claims process and provide a daily census update.

  3. Pre-authorization

    Our specialized authorization team can handle a variety of drug classification and pharmacy codes with precision. Our billing systems are designed to ensure that authorizations are acquired ahead of the billing. This drastically lowers claim denials especially when patients are subscribed to complex health plans.

  4. Medication Refill Management

    We take care of refill management by assisting patients and repeat customers in need of quick and efficient meds refill. To keep your clients happy we follow service pharmacy code guidelines to process refills without delay. Additionally, we also send timely reminders for refills.

  5. AR Follow-up

    All unbilled services impact the provider's revenue generation. To prevent this we ensure that each and every pharma service provided to clients are comprehensively billed without lapse. We also follow-up with patients and providers to ensure that payments are transacted on time.

  6. Charge & Payment Posting

    We automate what is unarguably the most labor-intensive activity in pharmacy billing services. From cutting the time spent on data entry to streamlining manual payment postings, our solution will ensure that reimbursements are appropriately accounted on time.

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Pharmacy Billing Process We Follow

We follow different processes for an A-rated generic drug, brand-name drug, as well as non-preferred drug. Since each of these areas require specific billing approach, we ensure to customize the billing solutions that will minimize rejections and let us create a custom statistical and analytical reports for pharmacies. Here is a snapshot of pharmacy billing workflow -

 

01. Documentation

We work with your team to complete documentation ahead of pre-authorization

 

02. Eligibility Verification and Billing

We effectively check the eligibility of your clients by verifying their healthcare and payment records before billing Medicare, Medicaid, or commercial insurers of your client

 

03. Plan Review & Authentication

After billing, we verify the Medicare part D to ensure the patient is covered under the right plan. Eligibility requirements and corrections (if any) are communicated to the client

 

04. Billing Statements

We provide comprehensive electronic billing statements on pharma services availed by the patient. Additionally, we update records on billing services

 

05. Refill Management

We service refill requirements and dispatch timely reminders to patients on refill

 

06. Payment Capture & Posting

We work relentlessly to smoothen the payment capture process. The payment released by insurers are quickly posted into client's account

Other Healthcare Support Services You May Benefit From

Why Choose O2I's Pharmacy Billing Services?

By outsourcing pharma billing services, we work side-by-side with pharmaceutical companies like yours to determine challenges and requirements. In this way, we can provide pharmacy billing solutions that drastically improve collection and eliminate the risk of rejection. Our team of qualified billing experts is the reason behind our success stride. They possess the knowledge and expertise to deliver services on par with standards. Get the following benefits by outsourcing pharmacy billing services to us -

  • Certifications

    We are an ISO certified, HIPAA compliant, and RBMA Corporate Partner. Offering high-quality pharmacy billing solutions is our guarantee. To fulfill this purpose, O2I follows a comprehensive set of compliance audits that help us eliminate errors

  • Data Security

    Dealing with a prodigious amount of confidential clinical data is no easy task. So, we have in place a string of physical and digital security measures that would allow us to handle your client data in a secure manner.

  • High Accuracy and Quality Service with Fool-proof Documentation

    We have immense experience and knowledge of working with several types of documentation and guidelines. We can define your processes and requirements for different drug categories comprehensively. We can help you minimize rejections, as we have a thorough knowledge of healthcare billing processes for various types of branded/non-branded drugs and A-rated generic drugs

  • Short Turnaround

    With experienced professionals on board, we passionately work under tight deadlines to give you faster and quality results. Save up to 35% time by outsourcing pharmacy billing services and get custom reports (statistical and analytical) as per your needs to facilitate faster decision-making

  • Scalability

    By working with an offsite pharmacy billing services provider like O2I, you can scale your service by 85% and get the best ROI. We are a forward-focused company that is devoted to providing services that not only solve existing problems but also future ones.

  • Pocket-friendly Pricing Options

    You can save close to 35% of costs by partnering with O2I. Our cost-effective pharmacy billing services will help eliminate errors in the documentation and filing without compromising the speed of service.

  • Single-point Contact

    Our service is incomplete without a dedicated project assistant who will be assigned to you from inception to completion. If you have concerns or queries at any point in time let us know through the subject matter expert appointed for your project

  • Physician Billing Services Software

    To speed up reimbursement we use automated tools to swiftly perform less critical tasks such as data capture from your end. The software we use for billing management are as follows -

    NextGen Healthcare Kareo Billing & EHR eClinicalWorks AdvancedMD brightree medisoft Athenahealth MediTouch athenahealth Billing & EHR AdvancedMd Billing Epic Billing AdvantX Billing CareCloud Billing Centricity Lytec Billing Misys Modernizing Medicine Billing & EHR Nex-tech Billing & EHR Proclaim Pulse SequelMed TotalMD Billing
  • Experienced Team of Pharmacy Billing Experts, and Medical Coders

    Our resources comprised of pharmacy billing specialists and medical coders are well-trained in pharmacy medical billing and compliance audits. They have knowledge of various drug code categories (CPT codes) as well as on different coding guidelines to reduce coding and billing errors

  • Modern Infrastructure

    Our infrastructure is configured to take on complex tasks such as document verification, billing, claims filing, and account reconciliation in a safe manner. We have tech teams who work dedicatedly to ensure safe and fast operation of our system without downtime

  • Secure Data Exchange

    One of the most challenging aspects of pharmacy billing is end-to-end document transfer. We go an extra mile to make that process simple and secure. We use VPN and secure FTP to facilitate smooth exchange of project files without interruption

  • Round the Clock Availability

    To reach us all you need to do is ring us on our helpline, or send email, or chat with our experts via online chat service. No matter what method you choose we can be reached 24/7 to get local time zone support

  • Fewer Claim Rejections

    We can help you minimize rejections, as we have thorough knowledge of healthcare billing processes for various types of branded/non-branded drugs and A-rated generic drugs

  • Customized Reports

    We offer custom reports (statistical and analytical) as per the needs of our client to facilitate faster decision-making

Client Success Stories

Charge and Demographic Entries by Using the Kareo Software

Charge and Demographic Entries by Using the Kareo Software

A Houston-based client contacted Outsource2india to outsource charge and demographic entry. They faced a cash crunch along with employee turnover resulting in delayed claims submission. By proving a customized solution, we helped the client rake up 45% profits and the claims were verified with an accuracy of 98-99%.

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Provided patient Demographics and Charge Entry to a top US Medical Billing Company

Provided patient Demographics and Charge Entry to a top US Medical Billing Company

Outsource2india handled the complete medical billing process for a large medical billing company based in the US, improving productivity by 30% with error rates below 2%. We processed 150 files a month with an error rate of just 2%.

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Outsource Pharmacy Billing Services to O2I - A Leader in Medical Billing & Coding

Testimonials

I wanted to inform you of what a great job O2I is doing for our firm. Vinoth Kumar and his team have done amazing work & are extremely reliable. We definitely consider O2I a part of our strategic plans moving forward. Initially, we needed to get a feel of your services & expertise in order to move forward on other enterprise accounts, & now we have the confidence in doing so. Thank you to you for all of the help over the year!

Managing Director,
Medical Billing Company, USA
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Ourtsopurce2india is an ISO certified company backed by 19 years of experience in medical billing & coding services. We are a leading provider of pharmacy medical billing services in India with a global footprint. Our services are the latest benchmark in healthcare billing. If you want a reliable service that transforms your revenue generation we are professionals who can help you. Our HIPAA compliant billing methodologies will spare you from the hassles associated with pharmacy billing.

Reach us now to select the services that fit your budget and expectation. We are happy to hand walk you through the billing process, so you can get paid quickly.

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HIPAA Compliant RBMA

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