Point of Care Programs Presented By: Jeff Azevedo [email protected] 925.984.5049 Company Overview Wholesale Medications Headquarters: Northern California Size: Over 500 Practices in 18 States Pharmacy & Dispensing Systems Billing & Collections Programs: In Office Pharmacy Physician Dispensing Full Service Organization Drug Testing & Confirmations POC Program Management Formulary Optimization Staffing Competitive Advantages Maximize Revenue Customer Benefits: Manage Patient Outcomes Manage Medication Protocols Improve Patient Satisfaction Provide Secure & Comfortable Care Offer Most Convenient Care Available Capture Revenue Streams That Have Traditionally Been Referred Outside of Practice With Minimal Overhead, Substantially Increase Your Practice’s Revenue Understand Patient Needs Many Patients Fail to Pick Up Rx 75% of Americans Report To Not Take Medications As Prescribed 30% of Americans Stop Taking Their Medicine Before It Runs Out Insurance Carrier Relationship Insurance Negotiation Team Works Collaboratively With Carriers Advanced Rx Benefits: Leverage Multiple Suppliers Competitive Pricing Less Prone to Shortages Medication Market Intelligence Diversified Product Offering Additional R&D Resources Turn Key Programs Medication and Staffing Costs Deducted From Future Reimbursements Practices Never Pay Us or Suppliers Directly All Hardware & Technology Included Maximize Practice Reimbursement Ensure Positive Insurance Carrier Relationships & Maintain Referrals Point of Care Dispensing Stage 1 OTC Work Comp Dispensing Stage 2 Full-Formulary Work Comp Dispensing Stage 3 Full-Formulary Commercial, Medicare, & Work Comp Dispensary Stage 4 Point of Care Pharmacy Stage 1 OTC Work Comp Dispensing No Minimum Volume Requirements No System Implementation Required Dispensing Performed Via Fax or Scan Workers Comp & Cash and Carry Only High Patient Favorability Substantial Reimbursement Revenue Very Low Overhead on Staff Stage 2 Full-Formulary Work Comp Dispensing Minimum of 40 Scripts Per Month Online System Implementation All Systems, Processes and Training Provided Practice Chooses Medication Inventory Ongoing Formulary Optimization Effective Insurance Company Relationships Lowest Wholesale Prices for Medications Stage 3 Full-Formulary Commercial, Medicare, & Work Comp Dispensary Minimum of 400 Scripts per Month Pharmacy Management System Implementation Requires Dedicated Dispensing Staff Complete Set Up Including: Processes Hardware Software Storage Training On-going Support Stage 4 Point of Care Pharmacy Minimum 2,000 Scripts per Month Licensing Licensed Pharmacist in Charge Hardware Implementation Full Support for ALL Patient Types No Longer Classified as Physician Dispense Training Program Includes Medications Patients Benefit from Convenience & Cost Improve Patient Outcomes Process Storage Enhanced Compliance Refill Support Prescription Routing Process Workflow Optimization Minimal Overhead to Practice Standard Prescriptions and/ or Electronic Prescribing Our data transfer service allows practices to operate efficiently with a hassle-free transition. E-Prescribe From Practice EMR Complete Dispense! Prescription sent inhouse, rather than to outside pharmacy Label is printed In-House Dispensary/ Pharmacy Collect Any Missing Patient Info Patient demographic & insurance info automatically transfer Electronic Adjudication Commercial & Medicare Billing Initiate Dispense Transaction Routed Through RelayHealth Immediate Feedback on Patient Benefits Pre-Authorization Insurance Reimbursement Amounts Co-Pays Brand Vs. Generic Acquisition Costs Net Margin All PBM Companies in Network Medicare Claims Carrier/PBM Response 2 Week Turnaround on Reimbursements Value Added Services Provided Formulary Optimization Minor adjustments can drastically improve physician’s net reimbursement. Insurance Company / PBM Management Contracts, electronic adjudication, medication preferences. Direct Relationship to Practice Eliminating pharmacy call backs, faxes, emails, etc. Expert Billing Services Relationship management with insurance carriers ensures reimbursement. Drug Testing & Confirmations Ensure Medication Protocol Compliance 24 Hour Turnaround For Results Provide Dictated Reports to Physician Cutting-Edge LC/MS/MS Lab Technology Full Integrated with Our Dispensing Platform Reduce Practice Liability Urine & Swab Options Test Panel Groups: Earn Additional Revenue Antidepressants Anticonvulsants Barbiturates Benzodiazepines Narcotics / Opiates Sedatives Stimulants THC (Cannabinoids) Improve Patient Care Improve Patient Outcomes - Enhanced Compliance Full Refill Support Mail order option Convenience Cost Competitive Trusted Source Quicker Processing of Authorization Direct access to patient and insurance data. Transparency & Accountability As Your Business Partner We Provide Monthly Reports Clear understanding of monthly activity with a detailed summary of all costs and billing activity for the month. Point of Care Services Partnership We Add Value to Your Practice! www.AdvancedRxMgt.com
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