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Buy and Bill Support Available!

CardioCares has an option to assist practice with:

  • Benefit Verification

  • Management of Claim Submission

  • Management of Reimbursement

  • Revenue Cycle / Planning

1. Verify benefits

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  • Verify patient’s benefit eligibility with the patient’s insurance.
     

 

Note: Commercial plans are often more restrictive. Be especially diligent in confirming eligibility.

2. Order Drug

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  • Order drug through Henry Schein under the enhanced VPS GPO contract buying terms
     

  • Extended payment terms
     

  • Highest rebates

3. Administer Drug

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  • Review cost with patient
     

  • Collect co-insurance according to your practice’s protocols
     

  • Have a healthcare professional administer drug
     

  • Schedule next administration

4. Submit claim

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  • CMS-1500 may be required
     

  • Appropriate diagnosis codes are essential to avoid rejections

5. Manage reimbursement

  • Check reimbursement rate based on the plan contract and published fee schedules
     

  • Dedicate staff member(s) to track billing and scheduling
     

  • Establish a reconciliation process to ensure proper inventory and billing control

Practice Responsibility

Cardiocares Support

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