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- RCM Pitfalls in Hospital Specialty Pharmacy: Where Revenue is Won or Lost

Understanding the unique challenges of medical billing for specialty pharmacy is essential for hospitals and health systems that want to capitalize on the revenue opportunities offered by specialty medications and services.
This e-book examines the end-to-end revenue cycle management (RCM) capabilities needed for success and pinpoints where gaps in medical billing claim submissions commonly occur. Designed for health systems looking to scale specialty pharmacy services, this resource offers a roadmap for transforming billing processes into a competitive advantage.
Inside, we explore:
- Detailed patient intake and documentation requirements
- New payor submission requirements for medical billing claims
- The increase of denials you can expect and the importance of having an appeals strategy
- New patient billing and collection processes
- The need for payment reconciliation down to service level
- Comprehensive financial reporting that will drive data-driven decision-making
Uncover how you can reduce revenue leakage and accelerate reimbursement by gaining much-needed insight into billing complexities, automation strategies, and other tips to help you meet your revenue goals. Download the e-book today.