Medicare Part B Processing for Health Plans
OmniSYS gives you the ability to submit claims for DME/HME items, supplies and drugs, just as you would with any other third-party prescription. Our Medicare Part B Service, CareCLAIM works with any pharmacy system that processes electronically, requiring no additional hardware or software and minimal training.
We perform over 400 proprietary edits to ensure compliance with Medicare and provide real-time responses at the point-of-sale to eliminate unnecessary claim rejections. Pharmacies don’t have to understand medical policies for coverage criteria, procedure codes or modifiers in order to submit claims. Fees, coinsurance and patient deductibles are tracked and calculated along with the claim assignment and coverage, ensuring you collect the correct co-pay from your patient.
When you use OmniSYS’ Medicare Part B Claims Processing, you receive the highest level of customer service, through claims and prompt reimbursement, leading to improved prescription volume and increased revenue.
Click on these additional services to learn more:
Denial Tracking, Claims Correction/Resubmission
OmniSYS Medicare Part B Covered Classes:
- Canes & Crutches
- Commodes
- Continuous Positive Airway Pressure System (CPAP)
- Diabetic Shoes
- Diabetic Supplies
- Enteral Nutrition
- Erectile Aids
- External Breast Prosthesis
- Hospital Beds
- Immunizations (including Flu & Pneumonia)
- Immunosuppressive Drugs
- Infusion Pumps
- Knee, Ankle & Foot Orthoses
- Manual Wheelchairs
- Motorized Wheelchair Bases
- Nebulizer Compressors
- Nebulizer Compressor Accessories
- Oral Anti-Cancer Drugs
- Oral Anti-Emetic Drugs
- Ostomy Supplies
- Patient Lifts
- Prosthetics & Orthotics
- Respiratory Medications
- Seat Lift Mechanisms
- Spinal Orthoses Supplies
- Suction Pumps
- Surgical Dressings
- Tracheostomy Supplies
- Urological Supplies
- Wheelchair Accessories
- Wheelchair Seating
- Support:800.666.4797
- 24 hours a day
- Sales:800.448.6891
- Local:903.455.0461
- Fax:903.455.7910
- E-mail:
- Call us today at 800.448.6891
Enroll today by calling 800.448.6891 or click here to contact us.
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