Complete Adult and Pediatric Billing Solution for All Payer Types
CORAL GABLES, Fla.--(BUSINESS WIRE)--
TransactRx, the nation’s leading provider of vaccine billing
solutions, today announced the launch of a complete billing and
contracting solution for public health departments. The solution
provides all the tools necessary for a local health department to
establish a comprehensive third party billing program including web
based claims management applications, connectivity to payers through the
TransactRx Clearinghouse, participation in the TransactRx
National Immunization Network and payer contracting
support services.
Local public
health departments are primary providers of vaccine
administration and preventative care services for children and adults in
the nation’s healthcare infrastructure. Historically, the vast majority
of services were provided to people with limited incomes or no insurance
coverage free of charge with the costs being born by local, state and
federal government agencies. Because of this, health departments have
not implemented the same practice management and billing systems as
physician offices and other medical providers. A combination of
increasing numbers of patients with insurance utilizing local health
departments and funding pressures have lead to a national initiative
lead by the Centers for Disease Control and Prevention (CDC) and funded
by the American Recovery and Reinvestment Act of 2009 (ARRA) to
implement the systems necessary for local health departments to bill for
services when patients do have insurance coverage for those services.
TransactRx has built from the ground up a billing and payer contracting
solution, that includes specific functionality and services needed by
health departments, that is being offered under a pricing structure that
fits the unique financial position of a local health department.
“We are proud to be a part of the efforts to insure that local
health departments across the country can continue to provide essential
health care services to the children and adults in their communities,”
said Jack Guinan, TransactRx CEO. “We were able to leverage our unique
experiences in providing low cost, easy to use vaccine billing services
to create a solution that does not require any additional staff or
billing knowledge at the health department and at a cost that fits with
their reimbursement levels.”
The solution moves all the complexity of bill coding from the
health department staff to the TransactRx system. Patient information is
entered and services are selected from a simple pick list and the system
takes it from there. All standard and payer specific coding rules and
fee schedules have been programmed and are continually updated at the
TransactRx Clearinghouse. When the encounter information is submitted
the system performs insurance eligibility, codes the performed services
according to the receiving payer’s rules, checks charges against the
appropriate fee schedule and electronically submits a clean claim to the
payer. TransactRx manages claim acknowledgements, rejects and payments.
In addition to the systems aspect of the solution are the payer
contracting support services. TransactRx provides expert assistance to
the health departments in obtaining the contracts needed to provide
services to the broadest set of patients in their community. Payer
contracting is a time consuming task that requires staff with experience
that local health departments historically have not had to employ.
TransactRx makes the contacting process as painless as possible for the
health department staff so they can focus on patient care.
ABOUT TRANSACTRX
POC Network Technologies, Inc. d.b.a. TransactRx
is a leading national provider of reimbursement solutions for vaccines
and specialty pharmaceutical products administered at the point-of-care.
The Company’s TransactRx proprietary technology platform seamlessly
connects the nation’s pharmacy and medical transaction infrastructures
to enable physicians, public health departments and pharmacies to check
coverage information and submit claims for both medical and pharmacy
benefits. The Company’s unique national provider networks significantly
reduce the cost and effort associated with contracting a large number of
providers to administer a particular vaccine or group of pharmaceutical
products. The combination of technology and provider networks assists
payers of all types including Medicare, Medicaid, Commercial and
Employer plans to increase access to vaccines for their members and
increase immunization rates.
Visit us at our exhibit at the NACCHO
Annual Conference in Los AngelesJuly 11 – 13 or
on-line at www.transactrx.com.
TransactRx
Andrea Seratte, 800-971-3890
Executive
Vice President
aseratte@transactrx.com
Source: TransactRx
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