Pharmacy Coding & Billing Reviews
When your chargemaster generates the correct drug charge and converts the appropriate billing unit, all is well. But when there are discrepancies, such as that code for 10 MG of an injection that should have been charged 10 times to equal the actual 100 MGs, you have a critical vulnerability.
Panacea helps you maintain a correct and compliant pharmacy chargemaster. Our approach encompasses a documentation review as well as a comprehensive analysis of charge capture processes and pharmacy chargemaster validation using the NDC database. Our focus is ensuring accurate charge capture, coding, claims processing and receipt of accurate payment so that you do not miss charges or under- or over-record billing units.
Call on Panacea’s coding and reimbursement experts for clear analysis and actionable advice, including evaluating medical necessity risk on outpatient off-label prescriptions.
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