Let us become an extension of your management team and deal with the headaches and hassles of 340B for you. Services include claim analysis to increase the capture rate of eligible prescriptions, adding referrals to your 340B program, managing the ESP Portal, working with your TPAs to become the primary point of contact, addition of new pharmacies to your program, contract review and negotiation, and providing you with the information and reports you need to truly understand your 340B program and get the maximum benefit possible out of it.
Whether you are evaluating an individual pharmacy location, or reviewing an entire contract, our experience can benefit you and make your 340B program more profitable. We provide comprehensive evaluations of contracts including overall profitability, profitability by location, individual drug profitability, separate analysis of brand and generic drugs, impact of remediation, other analysis as requested.
Our experience and expertise allows us to review all aspects of your 340B program, including contract terms, profitability analysis at a detailed level, replenishment orders, remediation impact, drug blacklisting, cash card/indigent program management, and any other aspects of your 340B program. that you need help with.
Sometimes the greatest value is discovered by looking for what's "not" there instead of analyzing what's already in front of you. Analyzing rejected claims and identifying ways to get them reprocessed as eligible is an important but overlooked tool for maximizing your 340B program.
From registering you entity on the ESP portal, through designating contract pharmacies, establishing templates for data submission and actually submitting claim information into the portal, all aspects of the ESP portal can be managed for you.
Capturing referral prescriptions can be very beneficial financially, but also requires a deep understanding of the 340B laws, as well as knowledge of medical records and TPA portals. All aspects of this can be managed for you. Ask about contingency fees for capturing referral prescriptions.