CareCLAIM - Medicare Part B
A flagship service from OmniSYS, LLC allows pharmacies to bill Medicare for Part B DME/HME Items, Covered Drugs and Supplies just like any other third-party prescription. CareCLAIM works with any pharmacy system that bills electronically - no additional hardware or software is required. With CareCLAIM you experience the look and feel of any other third-party plan. Your pharmacists won’t have to understand Medical Policies, Procedure Codes and Modifiers – little, if any, additional training is required. Extensive pre-edits ensure compliance with Medicare polices and real-time responses eliminate unnecessary claim rejections. Fees, coinsurance and patient deductibles are tracked so that you will know the correct amount to collect from your patients at the time of service. The true value of CareCLAIM is in providing the pharmacy the ability to offer the highest level of customer service through paperless claims and prompt reimbursement. Customer satisfaction leads to customer loyalty which brings additional prescription volume and increased OTC revenue. With the exception of mandatory assignment of Medicare Part B covered drugs, Non-Participating pharmacies can choose on a claim-by-claim basis whether or not to accept assignment and CareCLAIM will return the correct amount, if any, to collect from the patient.