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Medical Credentialing and Enrollment
Boost efficiency, expand referrals, and improve outcomes.
With AssureRx, your pharmacy can expand into clinical services, enhancing customer experience and access to healthcare. We help pharmacies increase productivity, workflow efficiency and better outcomes for patients.
- Improve customer experience and access to healthcare
- Increase sales and diversify revenue opportunities through clinical services
- Streamline workflows to lower cost and maximize revenue
How We Help:
Provider Credentialing
Verifies provider qualifications, background, and experience to ensure compliance with industry standards, including unique credentialing needs for pharmacists offering clinical services.
Payor Enrollment
Facilitates provider enrollment with insurance payors, streamlining approvals for medical billing and reimbursement, with expertise in navigating pharmacist provider enrollment challenges.
License Verification
Confirms active and up-to-date provider licenses across required state and national regulatory bodies, ensuring compliance with pharmacy-specific scope of practice regulations.
Compliance Monitoring
Ensures adherence to credentialing, licensing, and regulatory requirements to mitigate risk and maintain operational integrity, including evolving pharmacy practice regulations.
Re-credentialing Management
Manages ongoing credentialing requirements to maintain provider eligibility with payors and regulatory agencies, addressing unique re-credentialing timelines and requirements for pharmacists.
Features and Functionality
- Advanced analytics
- Medication management & clinical programs
- Streamlined integrations & efficient workflows
- Documentation in an ONC certified EHR
- Interoperability through C-CDA and direct secure messaging
- Credentialing & enrollment services
- Medical coding & billing
- Revenue cycle management services
- Nutrition management
Combine these modules for even greater benefits:
Revenue Cycle Management
Ensure your pharmacy receives timely payments while minimizing the administrative burden of payment tracking and reconciliation.
Capabilities
Payment Posting
Denial Management
Financial Reporting
Reconciliation Services
Claims Scrubbing and Re-submission
Pharmacist Provider Medical Billing
Comprehensive clinical services support and seamless medical billing solutions.
Capabilities
Clinical Documentation
Medical Billing
Provider Credentialing
Claims Management Care Coordination