SHORTEN COLLECTIONS WINDOWS, REDUCE RESUBMISSIONS AND INCREASE PROFITS
Real-time pharmacy adjudication is complex and reimbursement is constantly changing. QRx’s pre and post edit (PPE) solution is the best in class and helps maximize reimbursement, improve productivity.
Advanced Rule Set and Seamless Integration
• One of the industry's most advanced PPE rule sets (over 300) with customization available to meet the specific needs of a given customer or class of trade
• Integration at point of sale optimizes workflow resulting in enhanced productivity and faster collections
• QRx will automatically update incorrect elements on claims and submit AWP, therefore, reducing submissions and resubmissions errors and ensuring maximum reimbursement
• Audit protection program identifies specific areas of exposure to drive compliance and reduce potential revenue recapture from payers
• Customized data reports in easy to digest formats that show the impact from a single edit
QRx Solutions, LLC is an innovative pharmacy software solution helping to navigate the claims adjudication process.
This post is related to:
Worker's Comp, Claims, PA Management, Adjudication
