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
Veridikal Technologies is a company focused on providing business analytic solutions for pharmacy and hospital business sectors. Our aim is to simplify the complexities of pharmacy data management. Veridikal offers Pre and Post Edits (PPE), Pharmacy Benefit Administration (PBA), and Medication Reconciliation solution sets designed to meet the unique needs of various classes of trade including hospitals and medical centers, university health systems, long-term care pharmacies, retail pharmacies, specialty pharmacies, hospices, correctional facilities, and employers/self-insured plans. Veridikal's advanced and informative pharmacy solutions are trusted and relied upon by all pharmacy classes of trade, pharmacy wholesalers, PSAO's, GPO's, industry advocacy, and regulatory groups.
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
