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Pharmacy Billing Made Simple

Pharmacy Billing

WE’LL FOCUS ON MANAGING COSTS, SO YOU CAN FOCUS ON CARE

HealthDirect understands that accuracy is extremely important—for both resident and facility billing. In both cases, we never take accuracy of pharmacy billing for granted.

Drug Cost vs. Pharmacy Expense

We understand the pressures you have to manage costs while improving outcomes. At HealthDirect, we are committed to helping you achieve both. Our approach begins with strong pricing, but goes beyond a contract-rate to focus on drivers and controls. Drug formulary management, regimen reviews and pre-admit screening, and cost-alerts are just a few of the things we do to help our partners save money while improving care to their residents.

Billing Management

Our billing management model reduces facility drug-cost and inconvenience by independently managing private pay residents, Medicaid pending scenarios, and change-of-status cases.

1) Private Pay Residents
  • Billed directly
  • Collected directly
2) Pending Charges
  • Maintained in pharmacy system
  • Do not impact facility bill
  • Billed privately if necessary
3) Split-Billing
  • Maintenance of Med A vs. alternative payer source
  • Charges applied based upon cut dates
  • Eliminates facility being charged where ‘insurance’ should pay

Convenient Online Billing Portal

Accessing facility or private-pay accounts should be easy and secure, and our online billing portal is both!   Facilities can conveniently log into the system to review balances and make payments, and residents or responsible parties can do the same, with the added benefit of creating autopayments.

Ongoing Expense Management

Every day, HealthDirect aims to continually keep costs down while delivering high quality services. We are able to accomplish this by deploying 5 key processes:

  1. Managing formularies
  2. Shortening dispensing quantities
  3. Enforcing protocols and policies established by the community
  4. Routinely assessing drug regimens
  5. Giving our partners access to drug pricing so they can assess admissions

Ready for a Better LTC Pharmacy Partner?

Have questions for the HealthDirect team? Interested in becoming a care partner, requesting a pharmacy consultation or have billing questions? We’d love to help! Contact the HealthDirect Pharmacy Services team below or give us a call at 1 (888) 599-4379, Monday – Friday, 8:00 AM – 4:30 PM EST.