AssureRx: The Experts in Pharmacist Credentialing, Clinical Services & Medical Billing
Transforming Practice with AssureRx
Our Goal
To leverage our expertise in clinical community pharmacy practice and credentialing to alleviate the administrative burden of establishing a medically billing clinical practice.
What sets us apart:
- Our team of clinical pharmacists
- Our use of cutting-edge credentialing technology
- Our credentialing experts
Our passion aligns with yours! We’ve dedicated over a decade to understanding and implementing pharmacist provider care models with payment. We also strategically tested our membership offerings in pilot phases before offering it to the broader marketplace, ensuring a successful model is in place.
What sets us apart:
- Our team of clinical pharmacists
- Our use of cutting-edge credentialing technology
- Our credentialing experts
Our passion aligns with yours! We’ve dedicated over a decade to understanding and implementing pharmacist provider care models with payment. We also strategically tested our membership offerings in pilot phases before offering it to the broader marketplace, ensuring a successful model is in place.
What sets us apart:
- Our team of clinical pharmacists
- Our use of cutting-edge credentialing technology
- Our credentialing experts
Our passion aligns with yours! We’ve dedicated over a decade to understanding and implementing pharmacist provider care models with payment. We also strategically tested our membership offerings in pilot phases before offering it to the broader marketplace, ensuring a successful model is in place.
Clinical Services
We’ve designed the ultimate community pharmacy resource for implementing and executing high-quality clinical programs. This allows you to focus on what matters most, caring for your patients.
In an effort to enable pharmacists as providers, AssureRx Clinical Services helps pharmacy teams with:
We can’t wait to help more teams in more states build their clinical business too!
Implementation Kits & Success Coaching
Clinical Toolkits for 20+ programs:
- Vaccines
- Point of Care Test to Treat: COVID, Flu, Strep
- Travel
- Medication Management
- Long Acting Injectables
- Tobacco Cessation
- Hormonal Contraception
- Naloxone & Opioid Risk Assessment
- Chronic Disease Management: Hypertension, Diabetes, Asthma, Hyperlipidemia
- Urinary Tract Infection & Yeast Infection
- Minor Ailments: Burns, Bee Stings and Bites
Robust clinical toolkits allow easy program implementation by including:
- Collaborative Practice Agreement Templates
- Clinical Supply Lists
- Pharmacist Training
- Patient Education
- Clinical Decision-Making Tools for Medical Billing
- Charting Templates
- Prescription Templates
- Patient After Visit Summaries
- Physician Communication Templates
Robust clinical toolkits allow easy program implementation by including:
- Collaborative Practice Agreement Templates
- Clinical Supply Lists
- Pharmacist Training
- Patient Education
- Clinical Decision-Making Tools for Medical Billing
- Charting Templates
- Prescription Templates
- Patient After Visit Summaries
- Physician Communication Templates
Robust clinical toolkits allow easy program implementation by including:
- Collaborative Practice Agreement Templates
- Clinical Supply Lists
- Pharmacist Training
- Patient Education
- Clinical Decision-Making Tools for Medical Billing
- Charting Templates
- Prescription Templates
- Patient After Visit Summaries
- Physician Communication Templates
1:1 Success Coaching
Call Topics Include:
- Medical Billing & Charting Review
- Clinical Goals & Targets
- Marketing Clinical Business
- Optimizing Payor & Provider Relationships
- Clinical Revenue & KPI Analysis
1:1 Success Coaching
Call Topics Include:
- Medical Billing & Charting Review
- Clinical Goals & Targets
- Marketing Clinical Business
- Optimizing Payor & Provider Relationships
- Clinical Revenue & KPI Analysis
Credentialing & Enrollment
Leveraging extensive credentialing expertise, AssureRx sets itself apart as the exclusive experts in the field of credentialing pharmacy providers for medically billed services.
AssureRx is equipped to handle the entire process, from initiation to completion, for Medicaid, Commercial and any Medicare Advantage plan that accepts pharmacist providers.
Instead of investing time in learning an entirely new process, join AssureRx so you can concentrate on preparing your pharmacy, teams, and patients for practice transformation.
Health systems and clinics benefit from a credentialing department. It’s high time community pharmacies had the same support!
Credentialing & Enrollment
Leveraging extensive credentialing expertise, AssureRx sets itself apart as the exclusive experts in the field of credentialing pharmacy providers for medically billed services.
AssureRx is equipped to handle the entire process, from initiation to completion, for Medicaid, Commercial and any Medicare Advantage plan that accepts pharmacist providers.
Instead of investing time in learning an entirely new process, join AssureRx so you can concentrate on preparing your pharmacy, teams, and patients for practice transformation.
Health systems and clinics benefit from a credentialing department. It’s high time community pharmacies had the same support!
Credentialing & Enrollment
Leveraging extensive credentialing expertise, AssureRx sets itself apart as the exclusive experts in the field of credentialing pharmacy providers for medically billed services.
AssureRx is equipped to handle the entire process, from initiation to completion, for Medicaid, Commercial and any Medicare Advantage plan that accepts pharmacist providers.
Instead of investing time in learning an entirely new process, join AssureRx so you can concentrate on preparing your pharmacy, teams, and patients for practice transformation.
Health systems and clinics benefit from a credentialing department. It’s high time community pharmacies had the same support!
Credentialing Pharmacists: Reflection on the Need for Advocacy, Expertise, and Outcomes
Choose AssureRx for your credentialing needs:
Leave the burden of payor requirements, follow-ups, and credentialing details to us!
Membership with AssureRx
Successfully create the pharmacy clinic you’ve been dreaming of!
Clinical Services: 3 tiers of clinical services membership:
Credentialing services include:
Bonus Offer: Sign up for AssureRx Credentialing and get a Premium AssureRx Clinical Services membership for 50% off the first 6 months.
Frequently Asked Questions
Great question! The value is tremendous!
This library was created as a by-product of working alongside pharmacy owners and managers like yourself. These are the resources they asked for. These are the resources they would need to spend hours researching to create their own. These resources were the culmination of the recurring questions they posed.
We saw first-hand how busy they were and how much they benefited from a single source of tools and resources. Connecting them on group calls with other pharmacy pioneers further enhanced the value they saw, and you can too!
Because we believe in pharmacist owners and clinical programs, we priced this to be equivalent to 30-60 minute of a pharmacist’s wage per month (depending on tier). Our tools, guidance, and support will save you an hour or more of time a month, plus you have a great resource in your back pocket as you continue to expand programs! In addition to building programs to make more money we also are keen on revenue leaks and will help you save money too!
- We cover it all! Whether you’re a new pharmacy seeking credentialing with multiple plans for numerous providers or an existing pharmacy already enrolled with a single payor looking for maintenance and re-credentialing; we can help! We are well-versed in pharmacist provider contracts and can even facilitate negotiations for improved reimbursement rates with payors.
- Here is what you can expect upon joining our credentialing AssureRx Membership:
- You will receive an individual link for each pharmacy location and provider, initiating the intake process. Our credentialing coordinator is here to assist you every step of the way.
- Once all components are uploaded and entered, facility and provider profiles be created for each, alongside ensuring Type 1 and 2 NPIs and CAQH accounts are up to date and active.
- Primary source verifications including checks for Medicare Opt-Outs, OIG, SAM, Sanctions and Exclusions, etc. will be performed alongside general application content verification and review.
- If any information is missing or additional details required, our credentialing coordinators will contact you for the next steps.
- Upon confirmation all elements are accurate, based upon your selections of medical plans, our credentialing coordinators will complete Medicaid and Medicare enrollment, submit information to commercial and/or managed Medicaids.
- The credentialing coordinators will provide ongoing follow-ups occurring regularly until a response is received from the payor.
- Once you do all of the work to collect your materials, its vital we keep it up to date!
- Our credentialing coordinators will keep track of all profile and application components including expirations for both facility and provider licenses, insurance, and sanction status.
- We also manage ongoing attestations in CAQH and handle revalidation and recredentialing efforts, which usually occur two to five years after the initial enrollment.
- Recognition of pharmacists by payors varies across states. Nevertheless, our commitment is to collaborate with you and your state to advance the pharmacy profession and seize medical billing opportunities. Nearly every state permits pharmacists to be credentialed and enrolled as providers under the medical benefit of commercial insurance plans and to be reimbursed for services.
- We’ve achieved significant success in states with differing levels of “provider status,” and we are confident in our ability to make progress, regardless of your state’s starting point.
- Even in states with payment parity and commitment from plans and payors to pay pharmacist providers, you can hit roadblocks with “false” denials.
- In states that don’t have provider status yet, there is still tremendous opportunity to work with
payors to create a process to enable in-network pharmacist providers. - Let’s revolutionize pharmacy practice in your state together!
“I count on AssureRx for my credentialing and clinical service needs. They have gotten some of my pharmacists in network with the majority payors in Washington. As we build up all of our sites to be clinical destinations, we will credential the rest! “
“AssureRx held me accountable to submit my provider application materials and I was in network with my first plan in under 2 weeks”
“They go by AssureRx, but I refer to them as the dream team. They assisted me and my team in launching a tobacco cessation program including tools for marketing, coaching to boost my confidence and feedback to streamline documentation. It’s been wonderful to make a positive impact on my community and to generate revenue for cognitive services. “
“The AssureRx Team is truly an expert in pharmacist credentialing and enrollment. There are so many intricacies and barriers for pharmacists and they are an invaluable resource. As an added bonus, they help coordinate multiple providers in multiple states and release the burdens associated with recredentialing. “
“I am a second-generation pharmacy owner. When I was looking for a medical billing partner I wanted someone I could trust that possessed a similar passion and vision for pharmacy. I am so happy I chose AssureRx. They have helped us quickly grow from a tobacco initiative to a full clinic with an alternative payment model and a new revenue stream”
Meet the AssureRx Team
Brian Jones
With an extensive background in clinical dietetics and population health manager, Brian Jones bridges health technology and human well-being. Brian’s unique perspective and engagement with esteemed affiliations reflect his commitment to driving positive change. Adaptable and driven, Brian brings over 16 years of expertise to AssureRx. He’s dedicated to leveraging his diverse skill set to spearhead transformative advancements in health technology and contribute effectively to forward-looking initiatives. Passionate about improving the health of individuals, Brian is a staunch advocate for evidence-based practice and seamlessly connecting care to foster holistic well-being. Brian currently reside in Southeastern Tennessee with his wife and two children. He’s an avid auto enthusiast and has a deep appreciation for culinary delights, both in creating and enjoying them
Tejhas Vyass
As a seasoned technocrat with over 16 years of diverse experience in the healthcare industry, Tejhas is known for being results-driven. With a comprehensive skill set, his expertise spans from product design, implementation, medical billing, credentialing & payor enrollment, to revenue cycle management—critical components for seamless business operations. Tejhas is recognized for adept problem-solving and approaching challenges with a thoughtful and practical mindset. Proficient in analyzing information system needs, assessing end-user requirements, designing custom solutions, and troubleshooting complex information system management, he also brings a wealth of knowledge to the table. Excellent interpersonal, analytical, and negotiation skills define this individual, who has successfully spearheaded numerous cost innovation projects throughout their career.
Manish S. Devan
Manish S. Devan is a seasoned Credentialing & Contracting Team Lead with over 8 years of healthcare industry experience. His expertise spans Credentialing & Contracting, Patient Access, Collection Management, EV & Auth and Medical billing. Currently, at Assurecare, Manish oversees key projects in Credentialing & Contracting for Pharmacy & Pharmacists, working to enhance healthcare systems and individual well-being. Beyond his career, he’s an enthusiastic cook who constantly explores new recipes. In his leisure time, he enjoys activities like swimming, playing cricket, and driving. Manish’s ultimate aim is to make a positive impact on the healthcare industry and people’s lives through my dedication and expertise.
Shahab Shaikh
Shahab Shaikh is the Senior Technical Project Manager at Assurecare. He has a master’s in computer applications. He has been working in health care IT for 17 years. During his carrier journey he worked on various software development and implementation projects which include Electronic Health Records, Medical Billing software, Interoperability, and integrations with third party systems. He is proud to contribute to improving patients’ health and building healthy society. He lives in Mason, Ohio and loves movies, nature and to spend time with family.
Tara Pfund
Tara Pfund, PharmD leads the development, design, and strategy for community pharmacy practice solutions supporting pharmacist providers, ranging from clinical program implementation, credentialing and enrollment, to visit documentation and reimbursement strategies from medical payors. Tara has dedicated her career to progressing the pharmacy progression in her various executive roles within healthcare technology and community pharmacy.
Manish S. Devan
Manish S. Devan is a seasoned Credentialing & Contracting Team Lead with over 8 years of healthcare industry experience. His expertise spans Credentialing & Contracting, Patient Access, Collection Management, EV & Auth and Medical billing. Currently, at Assurecare, Manish oversees key projects in Credentialing & Contracting for Pharmacy & Pharmacists, working to enhance healthcare systems and individual well-being. Beyond his career, he’s an enthusiastic cook who constantly explores new recipes. In his leisure time, he enjoys activities like swimming, playing cricket, and driving. Manish’s ultimate aim is to make a positive impact on the healthcare industry and people’s lives through my dedication and expertise.
Crystal Bryan
Crystal Bryan, PharmD leads clinical program development She has spent most of her career in community pharmacy and provider clinics offering clinical programs for vaccines, medication therapy management, chronic disease management and transitions of care. Crystal is passionate about helping pharmacists fully embrace their role as practitioners, one step at a time. Pharmacists are perfectly suited to drive quality patient interventions, coordinate care and create a healthier community.
Crystal loves people, so outside of work, her schedule is packed with hiking, coaching soccer, many activities with her twin daughters or planning the next themed party that wouldn’t be complete without baked goods and a balloon arch!
Shahab Shaikh
Shahab Shaikh is the Senior Technical Project Manager at Assurecare. He has a master’s in computer applications. He has been working in health care IT for 17 years. During his carrier journey he worked on various software development and implementation projects which include Electronic Health Records, Medical Billing software, Interoperability, and integrations with third party systems. He is proud to contribute to improving patients’ health and building healthy society. He lives in Mason, Ohio and loves movies, nature and to spend time with family.
Brian Jones
With an extensive background in clinical dietetics and population health manager, Brian Jones bridges health technology and human well-being. Brian’s unique perspective and engagement with esteemed affiliations reflect his commitment to driving positive change. Adaptable and driven, Brian brings over 16 years of expertise to AssureRx. He’s dedicated to leveraging his diverse skill set to spearhead transformative advancements in health technology and contribute effectively to forward-looking initiatives. Passionate about improving the health of individuals, Brian is a staunch advocate for evidence-based practice and seamlessly connecting care to foster holistic well-being. Brian currently reside in Southeastern Tennessee with his wife and two children. He’s an avid auto enthusiast and has a deep appreciation for culinary delights, both in creating and enjoying them
Tejhas Vyass
As a seasoned technocrat with over 16 years of diverse experience in the healthcare industry, Tejhas is known for being results-driven. With a comprehensive skill set, his expertise spans from product design, implementation, medical billing, credentialing & payor enrollment, to revenue cycle management—critical components for seamless business operations. Tejhas is recognized for adept problem-solving and approaching challenges with a thoughtful and practical mindset. Proficient in analyzing information system needs, assessing end-user requirements, designing custom solutions, and troubleshooting complex information system management, he also brings a wealth of knowledge to the table. Excellent interpersonal, analytical, and negotiation skills define this individual, who has successfully spearheaded numerous cost innovation projects throughout their career.