Pharmacy claims adjudication is complex, and reimbursement is constantly changing. Veridikal’s pre and post edit (PPE) solution, DetectRx™, is a powerful solution that helps maximize reimbursement, improve productivity, shorten collections windows, reduce resubmissions, increase profits, and provides audit safeguards. Unlike legacy Pre/Post Editing (PPE) systems that have 5-10 basic rules, Veridikal's Next Generation platform has hundreds of advanced business rules and edits that may be tailored to meet the needs of specific pharmacy settings.
• Helps ensure maximum reimbursement is obtained on every claim in real-time
•Protects the pharmacy's revenue up front (Pre) instead of chasing after lost revenue from the payers
• Reduces claim submission errors and resubmissions
• Improves automation, decision-making, and productivity in the pharmacy
• Increases pharmacy's workflow efficiency Audit protection program that identifies specific areas of exposure to drive compliance and reduce potential take-back audits
• Next generation reporting with meaningful insights, and clearly defined actionable items
• Comprehensive program staff training that is available as needed and always complimentary
• Free client resource library with access to program tools and industry best practice guides
This post is related to:
Finance: PSAOs, Revenue Cycle Management, Reconciliation Finance: Worker's Comp, Claims, PA Management, Adjudication Patient Care: Assistance Programs, Loyalty Resources, Discount Cards Practice Setting: Community / Retail Pharmacy Resources Practice Setting: Health System Pharmacy Resources Practice Setting: Long-Term Care Pharmacy Resources Practice Setting: Specialty Pharmacy Resources