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Improving pharmacy revenue integrity
Jennifer J Carmody1, Kyle Townsend, Kathy Schwartz
1Reimbursement Services, Billings Clinic, Billings, Mont., USA. jcarmody@billingsclinic.org
Abstract:
Billings Clinic learned the following important lessons in implementing a pharmacy revenue integrity initiative: Integrate pharmacy data as fully as possible. Audit and review pharmacy data regularly to validate the data and identify key areas where education can be provided to support accuracy and compliance. Use technology to bridge gaps between pharmacy data, such as gaps in billable units and billed units. Establish data governance workflows.
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