Using the ProClaim billing pathway to bill our DSME claims is great! We can submit everything online which makes the billing process less stressful and allows me more time to focus on quality patient care,” said Dayna Wong-Otis, Pharm D, KTA Superstores Pharmacies, Hawaii.
EVANS, Ga. (PRWEB) February 23, 2018
STRAND® (formerly Creative Pharmacist), the innovative market leader in developing and supporting clinical services offered by community pharmacies, formally announced today the development and implementation of ProClaim, the pharmacist’s solution for clinical claims billing, including credentialing and contracting support. ProClaim is an end-to-end billing solution built into the STRAND intervention platform allowing pharmacies to file claims for services, such as diabetes self-management education (DSME), directly to an insurance payer, successfully leading to proven reimbursement for clinical services.
“We’re thrilled to break down the barriers pharmacists have typically experienced when seeking payment for the clinical services they provide,” said David Pope, PharmD, CDE, Chief of Innovation and co-founder. “With the introduction of ProClaim, we are pushing the pharmacy industry forward with the ability to connect and communicate clinical claims in the format they require. The ProClaim billing solution streamlines the process by offering a user-friendly, clinical billing pathway, empowering pharmacists to submit pre-scrubbed claims with the simple click of a button.”
In addition to direct claims billing for clinical services through the STRAND intervention platform, the ProClaim team assists the pharmacist in engaging payers by providing one-on-one support through the credentialing and contracting process. This new pathway allows a pharmacist to document an encounter with a patient, build and track claims through the adjudication process –up to and including payment– all within the STRAND platform.
"Using the ProClaim billing pathway to bill our DSME claims is great! We can submit everything online which makes the billing process less stressful and allows me more time to focus on quality patient care,” said Dayna Wong-Otis, Pharm D, KTA Superstores Pharmacies, Hawaii.
The ProClaim pathway is boasting clean claim rates above the national average. Some examples of pharmacist claims include DSME, tobacco cessation, opioid abuse prevention education, point-of-care testing, medication therapy management, and more.
“Integrating documentation and billing of clinical services into the pharmacist’s workflow has been a learning curve for us all, but STRAND is the streamlined platform for getting paid claims quickly and easily. I am very excited to see how STRAND can help us reach more patients with our clinical services and help pharmacy grow as a profession,” states Jaime Cadarette, LeFave Pharmacy & Compounding, Michigan.
The ProClaim pathway is fully integrated into the STRAND intervention platform, allowing pharmacists to utilize its suite of clinical solutions, including clinical interventions, secure communication with providers, education, and claims billing.
“STRAND has created an easy, user-friendly platform for billing of my diabetes education classes,” states Carolyn Johnson, Barnes Healthcare, Georgia. “Anytime I've needed help; someone is always available to walk me through and troubleshoot my issues. The newest update in STRAND is clean, easy, and my claims are always super easy to track. There is almost no time in between my billed claim and when I receive my reimbursement.”
Co-founded by a community pharmacist and a technology expert in 2008, STRAND is the U.S. market leader in helping pharmacists launch clinical services within their community. They support community pharmacists across the country in engaging patients with chronic disease, such as diabetes, through STRAND, a wide-reaching intervention, documentation, and education platform capable of developing the new Pharmacist eCare plan. Their mission is to transform the community pharmacy marketplace by inspiring and empowering pharmacists to engage clinical pharmacy practice to improve both the health of their business and the health of their patients. For more information, please visit: http://www.strandrx.com.