OmniSYS Document Outreach and Compliance Services help you mitigate audit exposure and compliance risk, while also saving you time,...
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OmniSYS gives you the ability to submit claims for DME/HME items, supplies and drugs, just as you would with any other...
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Medicare Part B Recovery
Over the years, OmniSYS Medicare Part B Recovery services have saved millions of dollars for mail service pharmacies of health plan Prescription Benefit Managers. We can proactively or retroactively reclaim money that should have been paid by Medicare Part B to your organization, and the process is customized for the way you do business.
Rising Healthcare costs are forcing health plans today to effectively manage healthcare dollars to meet the needs of retirees, survivors and beneficiaries. Historically, many retiree health plans have been unaware that select classes of drugs and supplies are covered under Medicare Part B. Health plans that have been aware often lacked market awareness and understanding of significant financial savings. In addition, health plans were reluctant to address the opportunity because they perceived that a solution did not exist that could address concerns related to member risk and disruption due to increased Medicare medical necessity requirements. Today there is growing market awareness due to economic and financial pressures to reduce health care costs. Health plans are looking to their mail service fulfillment providers to recover Medicare Part B reimbursement for covered members and implement proactive solutions to ensure that future claims for Medicare Part B members are paid under the appropriate benefit at the time they are dispensed. The market trend is evidenced through the competitive environment in the pharmaceutical benefit management space.
If you are serious about saving money and improving your bottom line, let OmniSYS simplify the work - from claims formatting to cost share retrieval. OmniSYS provides everything you need to save money, serve members and profit.
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