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OmniSYS’ services include a focused account management team that understands the special business rules needed to serve beneficiaries that receive their covered Medicare Part B drugs and diabetes supplies from a pharmacy. Many beneficiaries have unique coordination of benefits requirements for special secondary payers. Managing denials and audit responses also presents challenges for pharmacies because internal staff often does not understand the different billing and medical necessity requirements.
Outpatient Hospital Pharmacies take advantage of a wide variety of OmniSYS’ product solutions to ensure claims are reimbursed and audit risk is aggressively managed. For more information on OmniSYS services that benefit Outpatient Hospital Pharmacies, visit the links below.