Trusted medical billing support services customized to your state's specific opportunities and landscape

CPESN Medical Billing Supports

CPESN Medical Billing Supports empowers participating pharmacies to take back the pharmacy on the horizon of billing medical claims with support services tailored to state-specific regulatory requirements and level of payer opportunities. Pharmacies participating in the special purpose program pay for only what they need, closing the gaps in current medical billing processes. Community pharmacies set standards for technology solution providers, and design best practices for clinical service delivery and emerging value-based opportunities, ultimately being equipped for revenue cycle management as they add medical services to their traditional dispensing workflows.

Benefits to CPESN Pharmacies

  • State-specific opportunity assessment provided by PharmFurther
  • Learn about payable codes, easy to work with payers, billing technology providers to work with, and more
  • Medical billing education, payer engagement assistance, workflow resources to implement
  • Credentialing, enrolling/re-enrolling, revenue cycle management support as needed

Learn more about the Luminary-led assessment and levels of support by downloading the Medical Billing Supports ROI Fact Sheet.

Download Medical Billing Supports ROI pdf

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Costs
  • Pharmacy fees vary as determined by luminaryidentified needs
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Minimum Requirements
  • Luminary participation in network assessment (3-4 meetings)
  • Managing Network Facilitator capacity, insight to payer opportunity, regulatory landscape
  • CPESN USA member in good standing and affiliated with a local network
  • Pharmacist provider opportunity

 

Medical Billing Supports

Trusted medical billing support services customized to your state's specific opportunities and landscape

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