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Net-Rx Recent News

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.     

Submission Clarification Codes (SCC) are an integral part of pharmacy billing and workflow. Knowing what they are, when to use them, and how to use them accurately may have a positive impact on a pharmacy's bottom line. Download the SCC Reference Chart to gain exclusive access to a list of the most common codes here.
Pharmacies can benefit from proactively managing transition fills by working through prior authorizations and Medicare Part D prescription drug changes for non-formulary drugs during the transition fill period.

Have you ever wondered why payers will reject some claims, adjudicate others with profits, or respond on some with losses? The answer may lay with whether the medications’ NDC (National Drug Code) is on the payer’s formulary list.  If it is on the list, what tier is it on and is it a preferred medication? The answer may affect the reimbursement amount and patient copay assignments.

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