FALL 2014 I RetAIL/CommunIty • SpeCIALty • LtC
Script Assist &
Compound Assist
Pharmacy Software
Systems by
RS Software
Delivering cutting-edge
pharmacy software created by
pharmacists, for pharmacists.
RxSafe 1800™ Robotic
Pharmacy Workflow
Automation & RxASP
1000™ Adherence
Packaging by RxSafe
With complete security and confidence,
pharmacies can increase profitability,
improve productivity, eliminate waste,
theft and diversion, and free up floor
space with the RxSafe 1800.
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20Ways App
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NOTICE OF POLICY
20Ways (ISSN 1533-2258) is published quarterly by RXinsider LTD, 1300
Division Road, Suite 103, West Warwick, RI 02893. Postmaster: Send address
changes to 20Ways/RXinsider, 1300 Division Road, Suite 103, West Warwick,
RI 02893. Notification of address change must be made six weeks in advance,
including old and new address with zip code. Periodical postage is paid in
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Editorial - views expressed in articles or profiles in the 20Ways are those of the
author(s) and do not necessarily reflect the policies and opinions of RXinsider, our
editorial board(s), our advisory board(s), or staff. Advertising - products, services
and educational institutions advertised in 20Ways do not imply endorsement
by RXinsider.
Copyright © 2014 RXinsider LTD. All rights reserved. Reproduction without
permission is prohibited.
Contents
Workers’ Compensation
is More Profitable and
Easier Than You Think
ServRx™ specializes in
workers’ compensation
pharmacy claims management,
offering customized contracts
with the most flexible and
competitive payment terms
in the industry.
Serv
ODG
Entitlement To Benefits
peer review
letter of medical necessity
denied
extent of injury
DUR
prior authorization
voice mail
wrong form
noncompensable
FTEs
utilization review
CASE MANAGERS
phone messages
pre certification
adjusters
PBMs
Litigated
timely filing
National Carriers
self-insured employers
benefits exhausted
No Returned Phone Calls
PIP
need additional info
out of network
copay
claim closed
wrong carrier
SHORTPAY
DOI
DISPUTED
invoice correction
fee schedule adjustment
Dr. Not Authorized
refill too soon
invalid ndc
DOB
claim settled
not covered
reconsideration
script reversed
bill review
bill not received
date of loss
staff time
ingredients
specific requirements
follow-up
overtime
additional staff needed
MORE FOLLOW-UP NEEDED
hold time
PAPERWORK
EOB
EOR
IME time-consuming
regulations
medical necessity
jurisdiction
repricing
adjudication
ODG requirements appeals
verbal approval
statutes
NPI
letter of denial
“N” LIST
exclusions
injury report
exceptions
diagnosis
non-matched ndc
All Payors, One BIN. Proven and Profitable.
Simplified.
Workers’ Compensation
chasing payments
verifications
collections
follow-up calls
TPAs
no-fault
no
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page 49
PUBLISHER
RXinsider LTD
RXinsider CEO: Gregory Cianfarani RPh
DESIGN AND PRODUCTION
Design & Layout
Lora Sosa
Multimedia
Stefanie Carr
SALES AND BUSINESS DEVELOPMENT
Vice President, Chris Kolkhorst
chris.kolkhorst@rxinsider.com
Senior Manager, Shaun Russell
shaun.russell@rxinsider.com
Manager, Lindsey Kut
lindsey.kut@rxinsider.com
sales@rxinsider.com
Phone
800.972.2083
Fax
646.329.9766
Website
www.RXinsider.com
WAY
Visit 20Ways Online
RXinsider.com/20ways
WAY
Corporate Tax Deductible
Non-Qualified Benefit
Plan for the Independent
Pharmacy Owner by
Stratos Wealth Partners
Stratos Wealth Partners’ advanced
planning concepts, such as the
corporate tax deductible non-qualified
benefit plan, allows owners to
maximize their income …
page 53
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20Ways is an official publication of RXinsider
GENERAL SUBSCRIPTION INQUIRIES
RXinsider LTD
c/o 20Ways
1300 Division Road, Suite 103
West Warwick, RI 02893
20Ways Online: www.RXinsider.com/20Ways
General Information: 20Ways@RXinsider.com
Circulation: See page 3
Whether your pharmacy is mature, or you’re just opening your doors, we understand the financial opportunities and
challenges that you face today. More importantly, we can help you uncover the financial unknowns that lie ahead in
your business and in your life. These services include, but are not limited to:
Choose the Right Prescription for Financial Success
- Wealth Preservation
- Estate and Asset Protection
- Business Succession Planning
- Investment Management
- Retirement Planning
- Risk Management Analysis
- Legacy Planning
- College Funding Strategies
Jeremy Thompson is passionate about his work, and he has built a niche market serving the
needs of Independent Pharmacists throughout the United States. His distinct form of financial
analysis and solution integration has been designed to be a fit for independent pharmacists
seeking to move forward financially on both a personal and professional level.
3750 Park East Drive, Suite 200 Beachwood, OH 44122
Phone: 440.505.5598 | Fax: 440.505.5597 | Toll-free: 866.553.9882
JThompson@StratosWP.com | www.StratosWealthPartners.com
Securities offered through LPL Financial, member FINRA/SIPC. Investment advice offered through Stratos Wealth Partners, Ltd., a registered investment
advisor and a separate entity from LPL Financial.
Elevating Financial Strategies
Call 877.797.2332 today
or email info@rxsafe.com.
Visit www.rxsafe.com.
Join the retail chains, clinics,
independents, hospitals, military
and institutional pharmacies
that have chosen RxSafe to:
• increase profitability
• improve productivity
• eliminate waste, theft
and diversion
• free up floor space
RxSafe is the leader in
automated, high-density robotic
storage and retrieval of
pharmacy stock bottles. You
deserve the very best.
In the quest for a better pharmacy...
Distributor
1 + 1 + 1
1 technician.
1 pharmacist.
1 bottle at a time.