Within the first few hours of using Pharmacy ChargeLink, we identified $86,000 in missed pharmacy-related reimbursement opportunities.
—Academic medical center in Texas
Craneware's Pharmacy ChargeLink helps hospitals ensure that medications administered to patients are accurately priced, billed and reimbursed at an optimal level. The software maintains linkages between the facility purchase history of pharmaceuticals and the chargemaster. This lets you identify revenue opportunities and helps you create defensible pricing strategies.
Pharmacy ChargeLink will detect reimbursable drugs that are missing from the chargemaster, and will identify problems associated with billing units and method of administration. The software will alert you when payments from Medicare may not cover costs, and will identify pharmacy items which are out of alignment with your current pricing strategies.
Built-in workflow and change-management processes allow updates from pharmacy staff to be signed-off by reimbursement and pricing specialists. Recommended changes integrate to the workflow approval process to increase efficiency and communication between pharmacy and finance staff.
Pharmacy ChargeLink is linked to the Thomson Red Book™ database, the industry-leading source for information and pricing data on prescription drugs and over-the-counter medications. This provides users with the ability to perform alternative-drug searches, benchmark against average wholesale prices, and generate both spend analyses and statistical summaries.
Pre-built and user-defined filters, combined with powerful export capabilities, allow flexibility and customization of individual views and reports.
Craneware's Pharmacy ChargeLink provides a new level of visibility and confidence, as providers search for revenue opportunities, manage costs and monitor internal pricing policies.
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Information Resources
“A Collaborative Approach to Improving Revenue Integrity”
HFMA's hfm magazine, July 2009
By Rebecca Barnes, Kevin Keener & Bruce Latimer, Kingman Regional Medical Center.
How Kingman Regional Medical Center, Kingman, Ariz., improved their financial performance through a revenue-integrity program. Article focuses on the results they were able to achieve in pharmacy: Kingman identified and corrected over $1,000,000 in annualized lost revenue due to incorrect billing of pharmaceutical charges.
“Avoid Missed Revenue Opportunities with an Automated Revenue Integrity Program”
Pharmacy Purchasing & Products, May 2009
By Bruce Latimer, Kingman Regional Medical Center.
How Kingman Regional Medical Center, Kingman, Ariz., used Craneware's Pharmacy ChargeLink as part of a revenue-integrity program. Article focuses on the seven-figure results they were able to achieve in pharmacy services with the help of automation.
“Product Spotlight: Craneware’s Pharmacy ChargeLink”
Pharmacy Purchasing & Products, November 2009
By Kathy Lytal, MBA, Parkview Health.
Parkview Health, Fort Wayne, Ind., suspected they had pharmacy revenue cycle gaps. However, as the system’s director of revenue integrity points out, “While we had the drug spend file, the distribution data, the drug master, the chargemaster, and the revenue and usage reports, we lacked a method to assess financial performance at a level of detail to expose the sources of our leakage.” Lytal relates how Parkview uses Pharmacy ChargeLink to overcome that and other challenges.