From submission to payment, we apply the industry’s best practices to ensure you get paid, while maintaining a complete history for reporting purposes. Our clinical services include:

Immunizations

Immunization billing and administration can be complex and may vary from state to state. Currently, Medicare Part B pays 100 percent of the allowed charge, without deductibles or co-pays. The cost of the vaccine is set nationally each year. However, allowable administration fees vary by locality.

OmniSYS immunization claim submission services allow you to bill Medicare Part B for flu, pneumonia and hepatitis B vaccines, just as you would any other third-party prescription claim, and receive real-tim, accurate payment information. Claims are submitted electronically to your Medicare local carrier, and eligibility services allow you to verify coverage before giving a vaccination, reducing bad debt, denials and DSO. Ask about our Medicare centralized billing option when you call.

Diabetes Self-Management

Medicare covers services to help people with diabetes manage their condition, so that they can prevent or reduce the severity of diabetes-related complications. A beneficiary can receive diabetes training if he or she is at risk for complications, has been recently diagnosed with diabetes, or has diabetes and is now eligible for Medicare.

OmniSYS offers claims processing services to pharmacies providing diabetes self-management clinics. Through this service, you submit claims via the same process as traditional third-party claims and receive appropriate Medicare pricing in response. We send in the required ANSI 837 claim forms electronically, returning real-time, accurate payment information. Our eligibility services allow you to determine coverage before rendering services, thereby reducing bad debt.

In addition, our prospective-edits result in fewer denials and faster reimbursements.

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Enroll today by calling 800.448.6891 or click here to contact us.