Pharmacy Module Add-on
Optum
The Enterprise ChargemasterExpert.com Pharmacy Module is an online drug coding and reimbursement reference tool and database that provides up-to-date Medicare coding, billing, and reimbursement information for FDA-approved drug codes. The detailed drug data, HCPCS Level II codes, and payment rates are provided in an easy-to-use, searchable format. Updating and tracking thousands of drug reimbursement codes has never been so easy. By reviewing the Pharmacy Formulary with our automation feature, an entire review takes minutes, rather than a manual, line-by-line audit.
Enterprise ChargemasterExpert.com Pharmacy Module combines a powerful set of easy-to-use tools to automate the both the chargemaster review, and the Pharmacy Formulary review.
NOTE: This item is an add-on to our suite of online products. This item may only be purchased online if you are also buying a new subscription to an online application.
The Enterprise ChargemasterExpert.com Pharmacy Module Add-on may be added to these online coding tools:
Enterprise ChargemasterExpert.com (Item 3452)
If you are already an active subscriber to one of our online coding applications and you are interested in purchasing an add-on, please contact a customer service representative at 1-800-464-3649, option 1.
Enterprise ChargemasterExpert.com Pharmacy Module combines a powerful set of easy-to-use tools to automate the both the chargemaster review, and the Pharmacy Formulary review.
NOTE: This item is an add-on to our suite of online products. This item may only be purchased online if you are also buying a new subscription to an online application.
The Enterprise ChargemasterExpert.com Pharmacy Module Add-on may be added to these online coding tools:
Enterprise ChargemasterExpert.com (Item 3452)
If you are already an active subscriber to one of our online coding applications and you are interested in purchasing an add-on, please contact a customer service representative at 1-800-464-3649, option 1.
- Exclusive—Robust Pharmaceutical Lookup Feature. This database provides quick reference to set up new pharmaceuticals correctly, and efficiently the first time, following current Medicare guidance.
- Exclusive—Sophisticated analytics boost accuracy. The auto-analysis function reviews the full Pharmacy Formulary for potential issues:
- Missing HCPSC assignment per NDC
- Incorrect HCPSC assignment per NDC
- HCPCS assignment where one is not appropriate
- Invalid and Inactive NDC
- Incorrect Bill Unit Assignment
- Exclusive—Current code information boosts data quality. Because these complex regulatory, CPT®/HCPCS coding changes and edit updates are delivered to the application twice monthly, you always have access to the latest coding and pharmaceutical information. This allows you to refresh your CDM and Pharmacy Formulary with new codes in seconds. In addition, the Pharmacy Module includes essential review areas and timesaving features that improve productivity and data quality.
- Easy-to-use, this tool requires minimal staff training and reduces time spent on pharmaceutical CDM administrative tasks.
- Reviews the CDM and Pharmacy Formulary automatically to flag potential coding and billing errors, potential lost revenue, and compliance problems.
CPT is a registered trademark of the American Medical Association.
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