Pharmacy Practice
41 Articles
The SHOT Method Webinar Recap: Capturing Overlooked Vaccine Revenue
Webinar Date: May 20, 2025 Presented by: Dr. Angelina Tucker, PharmD, BCGP, CDCES & Rachael Matz, Head of Clinical Solutions, DocStation
Fixing Pharmacy Vaccine Billing: How to Streamline Claims, Verify Coverage, and Improve Reimbursement
Why Outdated Billing Systems Are Holding Pharmacies Back—and What You Can Do to Maximize Revenue and Simplify Immunization Services
Expanding Clinical Services in Community Pharmacies: Overcoming Barriers in 2025
Community pharmacies have long been a cornerstone of the healthcare system, providing essential services like dispensing medications and offering over-the-counter products. However, as the landscape of healthcare evolves, there is a significant opportunity for pharmacies to expand their clinical services and enhance their role in patient care. By leveraging their accessibility and expertise, pharmacies can be pivotal in managing chronic conditions, offering preventive care, and supporting patient wellness. This transformation is not without its challenges, but with the right strategies in place, community pharmacies can overcome these barriers and seize the opportunity to expand their clinical services.
Credentialing Success: How Pharmacists Can Streamline the Insurance Verification Process
Credentialing is an essential part of the healthcare system, allowing providers, including pharmacists, to be recognized as eligible participants for reimbursement from health insurance plans. Pharmacists’ involvement in patient care, especially in medication therapy management (MTM) and chronic disease management, has grown significantly in recent years. As such, understanding the provider credentialing process is critical for ensuring reimbursement, access to patients, and continued professional growth. In this article, we will delve into what pharmacist provider credentialing is, why it’s essential, and how it varies depending on the type of payer, including Medicare and commercial insurances. Additionally, we will explore the difference between credentialing and contracting, as well as the role of third-party services in simplifying the process.
Demystifying Pharmacy Revenue Cycle Management: From a 20-Year Revenue Cycle Nerd
After spending two decades knee-deep in healthcare revenue cycles (yes, I proudly call myself a revenue cycle nerd!), I’ve learned that the difference between a thriving pharmacy clinic and one struggling to keep its doors open often comes down to one thing: how well they manage their revenue cycle. Whether I’m taking a break from hiking with my family or stepping away from playtime with my five grandchildren, I’m often reflecting on how to make RCM more accessible to those just starting in this field.
DocStation AI Payer Prediction: Automating Medical Claim Submissions with 90% Accuracy
Healthcare billing can be a complex maze of decisions and verifications that consume valuable time better spent on patient care. The DocStation AI™ Payer Prediction Model is transforming this landscape by streamlining the medical claim submission process with remarkable accuracy and efficiency.
Transform Your Pharmacy Revenue with DME Billing: A Success Story
*Note: This guide uses the fictional story of Mae Whelan and Whelan’s Pharmacy to illustrate the real opportunities and challenges in DME billing. While Mae’s story is fictional, it represents the actual experiences of many independent pharmacies implementing DME programs.*
![Webinar Recap] Pharmacy Revenue Mastery: Proven Billing Strategies from 2024 Top-Performing Pharmacies](https://cdn.sanity.io/images/076lcf0r/production/f82b95a4fe7b4c8d2e2c545da52efd80ad8bcf0b-1408x768.png?rect=128,0,1152,768&w=600&h=400)
Webinar Recap] Pharmacy Revenue Mastery: Proven Billing Strategies from 2024 Top-Performing Pharmacies
Did you miss our free webinar, “Driving Revenue Through Immunizations?” No worries! You can now watch the recording on YouTube or reference the PDF of the presentation here.
Prepare Your Pharmacy for 2025 with Credentialing and Enrollment
Today, pharmacies are moving beyond traditional roles to provide a range of clinical services that significantly improve patient care. These services—from immunizations to chronic disease management—benefit patients and create new revenue streams for pharmacies. As pharmacies gear up for an evolving healthcare landscape in 2025, establishing a solid foundation for credentialing and enrollment is key to staying competitive.
Healthier Patients, Healthier Profits: A Pharmacist’s Guide to Success by Streamlining Vaccine Billing and Administration
Navigating the intricacies of vaccine billing can be intimidating, primarily due to the varying ways vaccines are covered by insurance.
Revolutionizing Pharmacy Regulatory Compliance with Modern Software
Pharmacies must navigate a maze of regulations from bodies like the FDA, DEA, State Boards of Pharmacy, and CMS. These regulations cover a wide range of areas:
Simplifying Medicare: The Distinction Between Medicare’s Offerings for Medications and Pharmaceutical Care
Few medical professionals wear more hats than a pharmacist.
Medicare Part C vs Part D: A Pharmacist’s Guide to Helping Patients Navigate Coverage Options
Navigating the nuances of Medicare can be a challenge for anyone in the medical profession.
Webinar Recap: Maximizing Flu Shot Revenue with DocStation and ReNue Apothecary
Did you miss our free webinar, “Driving Revenue Through Immunizations?” No worries! You can now watch the recording on YouTube or reference the PDF below.
C vs D? How Pharmacists Can Optimize Medicare Part C vs D for Their Patients and Profits
Twenty years after Harry Truman spoke these words about the necessity of national healthcare, President Lyndon Johnson signed into law Medicare legislation, a historic moment intended to transform American healthcare for the better, forever.
Medicare Made Easy: A Breakdown of Medicare Part A vs B vs C vs D for Pharmacists
In the medical field, there are few sayings that are more true than this one.
From Frustration to Freedom: 3 Ways Pharmacy Management Software Can Revolutionize Your Medicare Part C and D Billing
It’s a wild world out there for pharmacists these days. From ever-changing formulary lists and frustrated patients, to staying updated with the latest regulations, keeping your head above water can often feel like a constant battle.
Q&A with DocStation CEO: How are pharmacies integrating automations into their workflows?
At the forefront of healthcare innovation, the integration of Artificial Intelligence (AI) and automation in pharmacy operations is still just budding, yet it’s poised to redefine the way we manage and deliver care. As someone deeply embedded in the tech side of healthcare, I see a world of opportunity—but it’s crucial that we navigate it wisely.
Services to Implement in Your Primary Care Pharmacy
Estimates say that there will be a shortage of 17,800 to 48,000 primary care physicians in the United States by 2034, according to the Association of American Medical Colleges (AAMC).1
Clinical Pharmacy vs. Staff Pharmacy: Navigating the Differences
In the dynamic world of healthcare, the distinction between clinical and staff pharmacy roles emerges as a critical factor in navigating for better patient outcomes. Just as understanding the intricacies of HCPCS and CPT codes is vital for pharmacies to ensure proper billing and service provision, recognizing the differences between clinical and staff pharmacies is key to optimizing healthcare services and patient care.
How to Start a Medication Synchronization Program
Your pharmacy loses money every time a person forgets or is unable to fill their prescriptions for chronic disease medications. Not only that, but it can also affect your patient’s well-being.
Pharmacy Quality Improvement Initiatives To Implement in 2024
Medication errors, adverse drug reactions, and non-adherence all pose significant threats to patient well-being. So, quality improvement initiatives (QI) represent a strategic and necessary commitment to advancing the safety of healthcare services.
Unlocking the Benefits of A Personal Medication Record: A Comprehensive Guide
In today’s healthcare landscape, juggling multiple providers and medications has become the norm. A Personal Medication Record (PMR) emerges as a crucial tool in this complexity, offering a streamlined way for patients to keep their medication regimens in check.
Elevating Revenue Cycle Management: A Milestone Hire for DocStation
DocStation stands at the forefront of healthcare technology, committed to connecting pharmacists and payers to enhance patient outcomes. As we navigate the complexities of the $3 trillion healthcare industry, we’re excited to share a strategic development that promises to significantly bolster our operational capabilities.
Optimizing Your Pharmacy: A Guide to Pharmacy Management Systems
All pharmacies benefit from tools that improve efficiency. A pharmacy management system (PMS) is the best helping hand to support your operations as they grow. With useful features like inventory management, health records, and automated reimbursements, you can improve your team’s efficiency, increase revenue, and enhance patient care with pharmacy software systems.
How to Choose the Right EHR Vendor for Your Pharmacy
Forget overflowing file cabinets and mountains of paperwork. The future of pharmacy is digital, and adopting an Electronic Health Records (EHR) system is key to that transition. Implementing an EHR isn’t just about replacing paper with pixels. It’s a strategic decision that impacts your entire pharmacy ecosystem. From boosting efficiency to enhancing patient interactions, the right EHR can be a game-changer.
Advancing Pharmacy Operations with Healthcare Document Management Software
In the evolving landscape of pharmacy operations, the integration of healthcare document management software is becoming increasingly crucial. This sophisticated technology streamlines how pharmacists manage, store, and retrieve vital healthcare documents, enhancing efficiency and patient care. Let’s explore the transformative impact of this software in the world of pharmacy.
The Pharmacist’s Guide to Diabetes Awareness Month
November is a special month for all of us. The autumn leaves are at their peak, but more importantly, it is National Diabetes Awareness Month. As pharmacists, our role is vital in the lives of diabetes patients. This observance provides us with a unique opportunity to make a significant impact on their health and well-being. In this guide, we will delve into the significance of Diabetes Awareness Month, explore the associated symbols and color for diabetes, and discuss how pharmacists can best serve their diabetes patients during this crucial time.
Improving the Future of Patient-Centered Care | DocStation
In today’s dynamic healthcare landscape, the role of pharmacies in delivering patient-centered care has never been more important. The marketplace has a growing number of direct-to-consumer options as individuals increasingly seek comprehensive and personalized healthcare experiences. Pharmacies stand at the intersection of medical expertise and community accessibility that poises them to capitalize on consumer needs and wants.
2023 Provider Status Legislation Updates
Passed HB 1007 which expands RPh’s authority to prescribe HIV PrEP/PEP via a statewide protocol.
The Future of AI: Pharmacy Applications & Workflows
In today’s increasingly digital world, artificial intelligence (AI) has emerged as a transformative force, revolutionizing industries and reshaping the way we work.
The DIR Double Whammy: What Pharmacies Need to Know to Stay Afloat
Pharmacy benefit managers (PBMs) are the malevolent puppeteers in the complex ecosystem of the pharmacy world. These entities, known for their opaque pricing models and damaging reimbursement policies, have mercilessly crushed pharmacies with their practices, leading to such abysmal reimbursement rates that many pharmacies have either had to close their doors or seek revenue outside of dispensing revenue tied to PBMs.
Top Benefits and Challenges in Medication Therapy Management
Medication therapy management (MTM) is a program that can help ensure patients receive the most appropriate medications and allows pharmacists to efficiently monitor a patient’s progress and optimize health outcomes. Learn more about how MTM can improve patient outcomes while making medication management easier for providers.
What is CLIA Certification and Why Does it Matter?
Across various social media channels and message boards, pharmacy owners are discussing expanding their testing services. Have you started the process of offering approved lab tests at your pharmacy? Are you digging through research to determine if it’s a good idea for your pharmacy’s business model? Wherever you are in the process of implementing testing services, there’s one acronym you will keep coming across, CLIA. We have done the heavy lifting on this topic so you can make an informed decision in determining if and how to launch testing services in your pharmacy.
EMR vs EHR for Pharmacies, Explained
EMR and EHR medical abbreviations are often used interchangeably. However, there are some key differences that are especially important for those working in a pharmacy setting. In this quick guide, we’ll define EHR and EMR medical abbreviations thoroughly to help you understand the differences, and delve into the details of which can benefit your pharmacy most.
Pharmacist Medical Credentialing & Enrollment
Over the past decade, numerous states have passed legislation paving the way for pharmacists to achieve provider status. This pivotal healthcare policy shift recognizes pharmacists’ expanding role beyond medication dispensing. These laws, while varying by state, generally aim to achieve two primary objectives: to include pharmacists in health insurance provider networks and to enable reimbursement for services that fall within their extensive scope of practice. The journey to recognized provider status is not merely a bureaucratic formality; it signifies a fundamental elevation of the pharmacy profession, empowering pharmacists to extend critical healthcare services to millions of Americans who might otherwise face barriers to access.
The Pharmacist’s Guide to Patient Engagement Strategies
Pharmacy owners are passionate about their community’s health and quality of life. However, wellness is a two-sided effort, with significant responsibility resting on how invested patients are in improving their own well-being and lifestyle. Data from the Centers for Disease Control and Prevention (CDC) shows that increased patient engagement leads to better outcomes. So, what patient engagement strategies should pharmacy professionals utilize in 2023 to facilitate a higher degree of involvement?
HIPAA-Compliant Texting for Medical Professionals
In today’s modern world, it feels like new messaging apps are emerging almost daily. But it is very difficult to find an app that genuinely offers HIPAA-compliant communication that you can trust using with your patients.
Medical Benefit vs. Pharmacy Benefit: An In-Depth Look
Almost fifty-five years ago in the world of health insurance, a split occurred between the medical benefit and pharmacy benefit. Claims processing for pharmaceuticals had grown to a volume that required a unique solution for insurers. New companies and subsidiaries were created to meet this growing demand, and unique pharmacy billing practices arose from them. US pharmaceutical sales reached approximately $555 Billion in 2021, the vast majority of which were processed through insurance governed by the pharmacy benefit instead of the medical benefit. As states continue to pass provider status legislation, the majority of covered clinical services would be covered by the medical benefit.
Front-Line Pharmacists
Coronavirus continues to sweep across our nation. Those of us that live in population dense areas are feeling impact on our day-to-day lives while rural America fears what may come. Experts warn of multiple waves of infection before herd immunity is achieved. A vaccine may take a year to develop.
The Power of Specialty Pharmacy Data
Specialty pharmacy is a unique and complex sector of the health care industry. High cost pharmaceutical products are dispensed by specialty pharmacies to treat complex and often rare disease states. Data have a major impact on the industry for clinical and business reasons.