INSIGHT - Summer 2020

Summer 2020 | 23 CareCLAIM includes a unique medical claims dashboard to view reimbursement at a high level and drill down as needed. The dashboard allows you to access claim status, paid amounts, and more. Highlights are: y Account summary y YTD and monthly claims y Monthly claim volume y Unbilled claims y Claim status y Claims sent y Claims on hold y Payer status Plus, the Claim Search tool allows users to search for a specific claim or set of claims based on filter options. CareCLAIM users can also take advantage of the OmniSYS Vaccine Management Solution (VMS), a free service available to all CareCLAIM customers. Upon claim adjudication, OmniSYS identifies companion vaccination opportunities, checks patient eligibility, and alerts the pharmacist in real time. Strand-Rx ™ immunizations simplifies and amplifies the operation process for pharmacists. With documentation and reporting taking more time than actually administering immunizations, pharmacists benefit from: y Paperless Pharmacist Documentation − Populates previous vaccine history − Facilitates paperless or paper- based process − Auto populates with information via an NCPDP claim y Paperless Patient Documentation (sent securely via text to patient) − Speeds patient completion time − Ensures discreet data points − Removes typical clipboard/pen process y Communication − Sent securely to the primary care physician − Posted to state registry − Develops vaccine patient record The OmniSYS Training Center provides state, payer, and clinical expertise to help build successful clinical service practices. Identify clinical services you could be reimbursed for that you’re not currently performing. Includes: y State-by-state list of reimbursable clinical services by payer y Step-by-step training guides and videos − Accreditation − Enrollment − Credentialing − Contracting y Links to forms and documentation y DSME and DPP program guides With a substantially increased demand for vaccines being predicted and the strong potential for additional clinical opportunities as a result of COVID-19, now is a great time to consider signing up or expanding clinical service offerings. With the pharmacy industry’s only end-to-end immunization solution, along with clinical programs, the RedSail Advantage pricing discount for OmniSYS clinical services is worthy of consideration. The immediate return on investment from companion vaccine opportunities and improved immunization process workflow would benefit any immunizing pharmacy. iSYS: Pharmacy Impact For additional information on the program and how to sign up, visit redsailadvantage.com . For the value perspective from an immunizing pharmacist, please feel free to contact me at ed.vess@redsailtechnologies.com . Collect Reimbursements Faster Capture More Revenue