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Outsource Medical Billing and Coding Services for Pharmacy
Pharmacies rely on efficient pharmacy billing services to secure accurate reimbursements and minimize claim denials. MEDXPERT’s certified team ensures every claim is coded, submitted, and followed up correctly, so you can focus on patient care.
Our expert Specialty Pharmacy Billing Services are tailored to support complex drug billing, pre-authorizations, and payer compliance.
Comprehensive Pharmacy Billing Services
At MEDXPERT, we understand that each pharmacy is unique. That’s why we provide tailored pharmacy billing solutions based on your operating requirements and objectives. Our services are guided by key performance indicators (KPIs), which provide real-time insight into your revenue success, allowing you to concentrate on care delivery.
We provide end-to-end billing for clinical pharmacy services, empowering pharmacies across Louisiana, Maine, Delaware, Virginia, Maryland, Mississippi, NY, North Dakota, Wisconsin, Nevada, Georgia, Michigan, Montana, Vermont, and North Carolina. Our services include:
- Accurate Code Assignment
- 48-Hour Claim Submission
- Real-Time Eligibility Verification
- Prior Authorization Processing
- Denial & Appeals Management
- Payment Posting Reconciliation
Pharmacy Types We Support
Our pharmacy billing expertise covers:
Independent Retail Pharmacies
We manage claims for walk-in drugstores, assuring accuracy and timely reimbursement.
Specialty Pharmacies
Our billing staff is responsible for high-cost, high-touch therapies that comply with strict payer instructions.
Long-Term Care Pharmacies
We facilitate billing for institutions that serve adults and chronically ill patients, which helps to reduce claim rejections.
Hospital Outpatient Pharmacies
We streamline billing for outpatient medications while remaining compliant with hospital systems.
Urgent Care & Walk-In Clinics
Our team of specialists ensures proper pharmaceutical billing for urgent or episodic care settings.
Multi-Specialty Medical Groups
We coordinate pharmaceutical billing for multiple physicians and service types within one practice.
Specialty Pharmacy Billing Services That Deliver Results
Specialty pharmacies handle expensive pharmaceuticals, stringent payer restrictions, and intricate coordination with Pharmacy Benefit Management (PBMs). At MEDXPERT, we offer comprehensive Specialty Pharmacy Billing Services, including pre-authorization management, Medicare Part B/D split billing, 340B compliance, and REMS assistance. Our billing team understands the complexities of specialty drug claims and ensures that they are completed with clarity and urgency.
We reduce denials and minimize payment timeframes by combining precise coding, payer-specific documentation, and constant claim follow-up. Whether you’re invoicing under buy-and-bill models or dealing with prior authorizations, our expertise can help your pharmacy run smoothly while being compliant, ensuring that your income remains secure and your patients are supported.
Ready to Improve Your Pharmacy’s Bottom Line?
Let’s discuss how we may boost your reimbursement while reducing administrative burden.
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Why Choose MEDXPERT
MEDXPERT provides pharmaceutical billing services that are compliant, efficient, and supported by certified billing experts. We work with your pharmacy’s systems to optimize operations, minimize rejections, and increase revenue.
- HIPAA-Compliant Processes
- Certified Billing Professionals (CMBS, CMRS, CPCs)
- Dedicated Account Managers & 24/7 Support
- Integrated with Leading Pharmacy Software & EMRs
- Proven Track Record in Reducing AR Days
