As Medicare Recovery Auditors, or RACs, investigate hospital claims more closely, one area hospitals should pay extra attention to is the pharmacy.
"More than half of the issues being targeted by [RACs] are pharmacy related," said Craneware COO Derek Paterson in a news release. "Key among hospital pharmacy's vulnerabilities are questions about the medical necessity of drugs being dispensed and related documentation, incorrect HCPCS coding and hospitals billing entire vials when they are deemed multi-dose and should be billed as dispensed quantity only."
Craneware consequently announced it will release a new pharmacy charge program to help hospitals combat any pharmacy claims issues.
"More than half of the issues being targeted by [RACs] are pharmacy related," said Craneware COO Derek Paterson in a news release. "Key among hospital pharmacy's vulnerabilities are questions about the medical necessity of drugs being dispensed and related documentation, incorrect HCPCS coding and hospitals billing entire vials when they are deemed multi-dose and should be billed as dispensed quantity only."
Craneware consequently announced it will release a new pharmacy charge program to help hospitals combat any pharmacy claims issues.
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