Pharmacy & Pharmacy Benefit Managers (PBM) 💊 💉 HealthCare Support connects skilled pharmacy professionals with diverse roles nationwide, delivering tailored staffing solutions for the evolving industry. We staff a wide range of pharmacy positions, including pharmacists, clinical specialists, administrative support and insurance verification. Our expertise spans sectors such as managed care, health plans, pharmacies, RCM, DME and more. From specialized roles to support staff, we’re here to deliver the talent your organization relies on. 🔗 Connect with us today to learn more https://bit.ly/4fer8VQ #Pharmacy #PBM #YourHealthCareSupport #HealthcareStaffing
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𝐖𝐡𝐚𝐭 𝐀𝐫𝐞 𝐭𝐡𝐞 𝐊𝐞𝐲 𝐁𝐞𝐧𝐞𝐟𝐢𝐭𝐬 𝐨𝐟 𝐎𝐮𝐭𝐬𝐨𝐮𝐫𝐜𝐢𝐧𝐠 𝐋𝐓𝐂 𝐏𝐡𝐚𝐫𝐦𝐚𝐜𝐲 𝐁𝐢𝐥𝐥𝐢𝐧𝐠? Long-term care (LTC) pharmacies face unique challenges when it comes to billing and reimbursement. With patients who require ongoing, specialized care, accurate and timely billing becomes crucial for the financial health of these pharmacies. Navigating complex medication regimens, coordinating with multiple insurance plans, and ensuring proper documentation can be overwhelming. However, outsourcing LTC billing services to experts like Staffingly, Inc. can streamline these processes, reduce errors, and ensure that pharmacies get reimbursed quickly and accurately. 𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲𝐬: 𝐋𝐓𝐂 𝐛𝐢𝐥𝐥𝐢𝐧𝐠 𝐢𝐬 𝐜𝐨𝐦𝐩𝐥𝐞𝐱: Pharmacists need to manage multiple patients with varying medication regimens and payer requirements. 𝐓𝐢𝐦𝐞𝐥𝐲 𝐚𝐧𝐝 𝐚𝐜𝐜𝐮𝐫𝐚𝐭𝐞 𝐛𝐢𝐥𝐥𝐢𝐧𝐠: Delays or errors in billing can cause cash flow issues and disrupt pharmacy operations. 𝐃𝐨𝐜𝐮𝐦𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐢𝐬 𝐜𝐫𝐢𝐭𝐢𝐜𝐚𝐥:Accurate patient records and proper claim submissions are vital for reimbursement. 𝐎𝐮𝐭𝐬𝐨𝐮𝐫𝐜𝐢𝐧𝐠 𝐨𝐟𝐟𝐞𝐫𝐬 𝐞𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲:Specialized billing teams can streamline workflows, reduce errors, and improve reimbursement rates. 𝐅𝐨𝐫 𝐦𝐨𝐫𝐞 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧: https://lnkd.in/gYgV2QHd 𝐂𝐚𝐥𝐥 𝐓𝐨 𝐀𝐜𝐭𝐢𝐨𝐧 : If you need Outsourcing Services for Healthcare, visit us🌐 https://www.staffingly.com 📧 support@staffingly.com 📞 Call Toll Free: (800) 489-5877 📅 Book a Meeting: https://hie.li/meetdan hashtag #LTCPharmacyBilling#PharmacyBillingOutsourcing#OutsourcingLTC #HealthcareBilling#MedicaidBilling#MedicareBilling,
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Understanding the Difference: Provider vs Supplier In the healthcare industry, it's essential to distinguish between two critical terms: Provider and Supplier. While often used interchangeably, they have distinct meanings. Provider: A Provider refers to an individual or organization that delivers healthcare services directly to patients, such as: 1. Physicians 2. Hospitals 3. Clinics 4. Nursing Homes 5. Home Health Agencies Providers diagnose, treat, and manage patient care, often billing Medicare, Medicaid, or private insurance for their services. Supplier: A Supplier, on the other hand, refers to an entity that furnishes medical equipment, supplies, or services that support patient care, such as: 1. Durable Medical Equipment (DME) companies 2. Pharmaceutical companies 3. Medical laboratories 4. Imaging centers 5. Transportation services Suppliers do not directly deliver healthcare services but provide essential resources for patient care. Why the distinction matters: Understanding the difference between Providers and Suppliers is crucial for: 1. Accurate billing and reimbursement 2. Compliance with regulations 3. Effective communication among healthcare stakeholders Let's ensure we use these terms correctly to maintain clarity and precision in our industry! #healthcare #providers #suppliers #medicalbilling #compliance #healthcareindustry
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𝐇𝐨𝐰 𝐎𝐮𝐭𝐬𝐨𝐮𝐫𝐜𝐢𝐧𝐠 𝐏𝐡𝐚𝐫𝐦𝐚𝐜𝐲 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐁𝐨𝐨𝐬𝐭𝐬 𝐄𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐜𝐲 𝐟𝐨𝐫 𝐋𝐓𝐂 𝐏𝐡𝐚𝐫𝐦𝐚𝐜𝐢𝐞𝐬 Managing pharmacy billing in Long-Term Care (LTC) pharmacies can be a complex and time-consuming task. From navigating multiple payer systems to ensuring compliance with ever-changing regulations, it's easy for administrative tasks to overwhelm pharmacy teams. 🔹 𝐑𝐞𝐝𝐮𝐜𝐞𝐝 𝐀𝐝𝐦𝐢𝐧𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐯𝐞 𝐁𝐮𝐫𝐝𝐞𝐧: Outsourcing billing to experts frees up valuable time for your pharmacy staff to focus on patient care rather than dealing with tedious paperwork and claim rejections. 🔹 𝐈𝐦𝐩𝐫𝐨𝐯𝐞𝐝 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐀𝐜𝐜𝐮𝐫𝐚𝐜𝐲:Specialized billing providers understand the intricacies of Medicaid, Medicare, and private insurance, ensuring accurate and timely claims submission. This reduces the risk of errors and claim denials. 🔹 𝐅𝐚𝐬𝐭𝐞𝐫 𝐑𝐞𝐢𝐦𝐛𝐮𝐫𝐬𝐞𝐦𝐞𝐧𝐭𝐬:A streamlined billing process means quicker reimbursements, improving your cash flow and allowing your pharmacy to reinvest in quality care. 🔹 𝐅𝐨𝐜𝐮𝐬 𝐨𝐧 𝐖𝐡𝐚𝐭 𝐌𝐚𝐭𝐭𝐞𝐫𝐬:Outsourcing ensures that all billing practices meet the latest federal and state regulations, reducing the risk of audits and penalties. 🔹 𝐄𝐧𝐡𝐚𝐧𝐜𝐞𝐝 𝐂𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐜𝐞:With billing handled by experts, your pharmacy can prioritize what’s most important—providing excellent care to your patients. 𝐅𝐨𝐫 𝐦𝐨𝐫𝐞 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧: https://lnkd.in/gJ2TCsqu 𝐂𝐚𝐥𝐥 𝐓𝐨 𝐀𝐜𝐭𝐢𝐨𝐧 : If you need Outsourcing Services for Healthcare, visit us🌐 https://www.staffingly.com 📧 support@staffingly.com 📞 Call Toll Free: (800) 489-5877 📅 Book a Meeting: https://hie.li/meetdan #LTCPharmacy #OutsourcingBilling #PharmacyOperations #RevenueCycleManagement #Compliance #Efficiency #HealthcareSolutions #PharmacyInnovation #CostSavings #StaffinglyInc
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If you could snap your fingers and "fix" anything in the pharmacy profession, what would it be and why? I personally believe extensive pharmacist consults should not be free. Pharmacists should be compensated for the work they do and the information they provide. All other healthcare professionals get paid for their medical advice, so should pharmacists. Achieving provider status nationwide would be the first thing I would "fix". There are many issues that could also be addressed related to PBMs, insurance companies, metrics, etc. But provider status would have a huge impact on not only retail, but also health systems, hospitals, ambulatory care, long-term care... and the list goes on. I would love to know what you think. Leave your choice below...
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𝐓𝐡𝐞 𝐊𝐞𝐲 𝐁𝐞𝐧𝐞𝐟𝐢𝐭𝐬 𝐨𝐟 𝐎𝐮𝐭𝐬𝐨𝐮𝐫𝐜𝐢𝐧𝐠 𝐋𝐓𝐂 𝐏𝐡𝐚𝐫𝐦𝐚𝐜𝐲 𝐁𝐢𝐥𝐥𝐢𝐧𝐠 𝐄𝐱𝐩𝐥𝐚𝐢𝐧𝐞𝐝 Long-Term Care (LTC) pharmacy billing is a complex, time-consuming task that requires precision, expertise, and up-to-date knowledge of both healthcare regulations and pharmacy-specific billing codes. With the demands placed on healthcare providers, outsourcing LTC pharmacy billing has become an increasingly popular solution. But what exactly does this process entail, and how can outsourcing help streamline operations for LTC pharmacies and healthcare organizations? Let’s break it down. 𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲𝐬 ✅ Save up to 70% on staffing costs ✅ Improve accuracy and reduce billing errors ✅ Ensure regulatory compliance with Medicare & Medicaid ✅ Focus more on patient care and less on administrative tasks 𝐅𝐨𝐫 𝐦𝐨𝐫𝐞 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧: https://lnkd.in/gCMDNj5G 𝐂𝐚𝐥𝐥 𝐓𝐨 𝐀𝐜𝐭𝐢𝐨𝐧 : If you need Outsourcing Services for Healthcare, visit us🌐 https://www.staffingly.com 📧 support@staffingly.com 📞 Call Toll Free: (800) 489-5877 📅 Book a Meeting: https://hie.li/meetdan #LTCPharmacyBilling, #Outsourcing, #HealthcareBPO, #CostSavings, #PharmacyBilling, #MedicalBilling, #Medicare, #Medicaid, #RevenueCycleManagement
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U.S. healthcare spending rose by 4.1% in 2022 to $4.4 trillion, or $13,493 per person, matching pre-pandemic growth rates. Post-pandemic, government healthcare spending dropped significantly in 2021, while the use of medical goods and services increased. By 2022, spending patterns returned to pre-pandemic norms. Spending categories include: • Hospital care • Physician services • Clinical services • Prescription drugs • Nursing care facilities • Home health care • Other personal health care costs • Government administration • Net cost of health insurance • Government public health activities • Investment spending Please find the link to read more: https://lnkd.in/gPqdXBzP #hospital #clinical #physician #prescription #nursing #healthcare #pharmacy #pharmaceuticals #investment #digital #transformation #technology
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Droplet from LiquidSMARTS - Extension of Medicare Hospital Trust Fund: Strategic Insights for Medical Sales Professionals 1. What Happened - The Medicare Hospital Insurance Trust Fund's solvency has been extended from 2031 to 2036, based on the latest Medicare Trustee report. - Factors contributing to this extension include changes in medical education expense calculations, increased payroll tax income, and lower-than-expected costs in 2023. - The Biden administration credits this improvement to economic and health policies such as the Inflation Reduction Act. 2. What It Means - The extended solvency of the Medicare trust fund is likely to stabilize the healthcare market, especially for services heavily reliant on Medicare reimbursements like inpatient hospital and home health services. - This stability may result in a more predictable business environment for medical providers and suppliers, influencing pricing strategies and market dynamics in pharmaceuticals and medical devices. 3. Implications for Salespeople - Strengthen Value Propositions: Focus on articulating the cost-effectiveness and overall value of products in terms of patient outcomes and long-term cost savings. - Educate and Consult: Position as consultants to help healthcare providers navigate the changing reimbursement landscape. - Anticipate Needs: Prepare for potential challenges, such as the anticipated issues with insufficient physician payments, which could impact provider availability and service quality. - Engage Proactively: Monitor legislative developments closely and engage with healthcare policymakers to advocate for products and understand upcoming market changes. By integrating these strategies with ongoing healthcare policy trends, sales professionals can effectively meet the evolving needs of hospitals and doctors, ensuring continued success in a dynamically changing marketplace. #HealthcareSales #MedicalSales #Pharmaceuticals #Biotechnology #Medicare #HealthPolicy #InflationReductionAct #HospitalCare #SalesStrategy
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Delayed Reimbursements Draining Your Pharmacy? Slow insurance payouts cost pharmacies billions, causing cash flow strain, reduced patient care capabilities, amd operational inefficiencies among other issues. Here PrimeRx.io covers ways that pharmacies can fight back against reimbursement cycles that, according to the National Community Pharmacists Association (NCPA), average of 30 to 60 days for reimbursement on claims, with some delays stretching even longer. Learn about how tools that can help, such as: Flexible payment handling DIR fee tracking & reporting Real-time prescription benefit checks Automated claim processing #pharmacy #healthcare #insurance #reimbursements #PrimeRx
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🌟 How Outsourced Pharmacy Benefit Management (PBM) Can Lower Healthcare Costs 🌟 Healthcare providers, we know the challenge: skyrocketing medication costs, complex insurance plans, and hours of administrative headaches. Managing pharmacy benefits often feels like a losing battle. But what if there was a simpler, more effective way to handle it? Outsourcing Pharmacy Benefit Management (PBM) might just be the solution your practice needs. Here's why: ✅ Lower Costs: PBM providers negotiate bulk discounts with drug manufacturers, slashing expenses. ✅ More Time for Care: They handle admin tasks like prior authorizations and claims processing, so your team can focus on what matters—patients. ✅ Better Patient Outcomes: Streamlined systems mean faster medication access and improved adherence. ✅ Transparency: Modern PBM providers offer clear pricing and regular reporting, so you always know where your money is going. ✅ Expert Support: With deep industry knowledge, PBM partners bring strategies that deliver real savings. 💡 In today's ever-changing healthcare landscape, every dollar saved and every minute freed for patient care counts. Are you ready to explore how PBM outsourcing can transform your practice? Let’s connect! FOR MORE INFORMATION: https://lnkd.in/g9BqUNYF 𝐂𝐚𝐥𝐥 𝐓𝐨 𝐀𝐜𝐭𝐢𝐨𝐧 : If you need Outsourcing Services for Healthcare, visit us🌐 https://www.staffingly.com 📧 support@staffingly.com 📞 Call Toll Free: (800) 489-5877 📅 Book a Meeting: https://hie.li/meetdan #PharmacyBenefitManagement #HealthcareSavings #Outsourcing #PatientCare #HealthcareInnovation #PBM #CostReduction
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💊 Top 5 Tips for Navigating the Medical System for Prescribed Medications 💊 Understanding how to navigate the medical system for prescribed medications effectively can significantly enhance your healthcare experience and ensure you receive the best care. Here are the top five tips to help you through the process: Understand Your Prescription: Before leaving the doctor's office, fully understand your prescription. Ask your healthcare provider about the purpose of the medication, dosage instructions, potential side effects, and any interactions with other drugs or foods. Verify Insurance Coverage: Check with your insurance provider to ensure your prescribed medication is covered. Understanding your coverage can prevent unexpected costs and help you explore alternatives if needed. Contact your insurance company or use their online resources for detailed information. Choose the Right Pharmacy: It is crucial to select a reliable pharmacy. Look for a pharmacy that offers good customer service, reasonable prices, and convenient services such as home delivery or online refills. Building a relationship with your pharmacist can provide additional support and guidance. Experience Relief by Staying Organized: Keep a detailed record of your medications, including their names, dosages, and schedules. Use tools like pill organizers, mobile apps, or reminder systems to ensure you take your medications as prescribed. Staying organized helps you manage your treatment effectively and avoid missed doses, providing a sense of relief in your healthcare journey. Communicate with Your Healthcare Team: Maintain open communication with your healthcare team, including your doctor and pharmacist. Report any side effects or concerns promptly. Regular follow-ups and discussions about your medication regimen can lead to adjustments that improve your overall health and treatment outcomes. Navigating the medical system for prescribed medications can be challenging, but with the right knowledge and proactive approach, you can ensure a smoother and more effective experience. Take charge of your health by staying informed, organized, and communicative. #Healthcare #MedicationManagement #PatientAdvocacy #Pharmacy #InsuranceCoverage #HealthTips #PatientCare
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