Improve your laboratory payment lifecycle with solutions for preauthorization, medical coding, and medical billing.
The Problem
Improving Accuracy
High volume prescription processing can turn your pharmacy into a three-ring circus. If your pharmacy serves long-term care facilities, you know that handling large volumes of prescriptions on schedule requires quick, clean order processing. Every prescription requires a careful eye on policies, procedures and detailed regulations. If you are managing growth, adding on new long-term care (LTC) homes, or acquiring another pharmacy, your challenge is even greater.
Infinx is the healthcare company that preserves your revenue through the entire patient stay by ensuring proper claim processing and billing.
Long-term Care Pharmacy Solutions Include:
Order Entry
Infinx will access arriving orders, and enter them according to the rules and protocols specific to your pharmacy. That includes Priority, Run-Time, and Cut-Offs. Medication orders are entered into your Pharmacy Information System precisely as your staff is doing currently.
Triage
Infinx reviews all documents arriving into your document management system, and in real-time sorts based upon department and priority. This includes adding run-times or other annotations needed to ensure proper handling of the documents.
Presciption Refills
Refill orders, whether arriving electronically or via fax image are processed one at a time following pharmacy guidelines. Rejected claims, early refills, duplicate documents and cycle meds are all handled appropriately by the team to ensure the patients get all the medications needed on time. Infinx can work this overnight as well to help the pharmacy get the maximum number of refills on the morning runs.
Billing
Infinx will work side by side with your billing team to help manage the daily volumes of work including admissions, census, and end-of-month processing.
Admissions
Infinx will review all admission documentation, set-up patients in the system with demographic information, allergies, diagnosis, guarantor and payment plans. Eligibility searches are performed to ensure all plans are found and added.
Daily Census
Infinx works the daily census documents received from the facilities, updating admissions, discharges, hospital leaves, bed holds, room changes and coverage changes like Medicare A starting and stopping. They will also adjust claims already processed to ensure the proper plans are being billed on the correct dates.
End-of-Month Processing
Infinx will work end-of-month census, reviewing all claims for the month to ensure all claims are billed to the correct payers. Working with your team to help get the end-of-month done in a more timely fashion.
New Facility Onboarding
When you grow your business, Infinx can help you get those new patients into your system and ready to be filled in time for the go-live. 100% internal QA ensures the highest quality patient set-up and order entry of both medication and ancillary orders.
Whether your pharmacy relies upon Framework, QS1, HBS, CIPS, Helix, or any other pharmacy management software, our order and billing specialists seamlessly dovetail with your current operations to ensure speedy, accurate new orders and refills — double-checked by our in-house auditors for exceptional reliability.
Our Results
Serviced Daily:
Processed Monthly:
Score:
Per Month:
Available:
*during quality checks