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Net-Rx Recent News

DIR fees have long been a concern for pharmacies. These fees have steadily increased over the last few years with no end in sight and no little to no transparency.  In this article, we define DIR fees, how it affects pharmacies, and why transparency is important.

In this article we discuss pharmacy claims reconciliation, managing electronic remittance advices, and tracking outstanding payments.

Are you considering conducting Coronavirus (COVID-19) testing at your pharmacy? In this article we discuss the types of tests and the requirements pharmacies must meet in order to provide COVID-19 testing.

Pharmacists sometimes have hundreds of prescriptions to fill each day. In a fast-paced environment, sometimes good billing practices and operational habits can be overlooked, jeopardizing the health of your business. Here are the top 5 things you should do to make sure you receive optimum reimbursement from third-party payers.     

Some situations require a pharmacist to submit a claim that, under normal circumstances, would be rejected by the third-party payer.  For example, a patient is going on a vacation and requests a three-month supply of their medication.  To prevent rejection, this claim must be submitted with a Submission Clarification Code. In this article, we look at how submission clarification codes are used and offer some best practices that may help you ensure proper reimbursement. 
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