PHARMACY REVENUE RECOVERY

Recapture hidden financial opportunities

Macro Helix’s revenue recovery management solutions support workflow efficiencies and help health systems recapture lost revenue and prevent revenue leaks.  This service accelerates and improves the review and validation of pharmacy revenue cycle data, helps recoup collectible revenue for medications, and increases transparency between the pharmacy and finance departments.

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Macro Helix Patient Assistance Program & Revenue Recovery
Revenue Recovery 

AN ANALYST-LED SOLUTION

Let us help you improve cash flow

Our analysts use proprietary Macro Helix and McKesson clinical and financial algorithms to identify underpaid pharmacy claims and opportunities to increase reimbursement. This team of subject matter experts provides validated findings to assist you with claim reprocessing, reimbursement, and support in resolving underlying issues to improve financial accuracy. Through close collaboration with your staff, our analysts provide helpful feedback to track and monitor your financial performance and inform better decision-making.

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Core revenue recovery service areas

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Historical Review
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Claims and Process Correction
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Ongoing Monitoring and Support
Macro Helix’s revenue recovery management solutions support workflow efficiencies and help health systems recapture lost revenue and prevent revenue leaks.

How Macro Helix provides ongoing value

  • Increase transparency of billing inaccuracies
  • Identification of underpayments and collaboration on opportunities for resolution
  • Provision of identified opportunities with actionable recommendations
  • Ongoing support from a dedicated team of subject matter experts
  • Continuous monitoring of claims and reimbursement data

WHY CHOOSE MACRO HELIX FOR REVENUE RECOVERY?

A good kind of different

Macro Helix is not a full Revenue Cycle Management solution; we provide a niche service focusing on separately-reimbursable pharmaceuticals in medical billing.
We are flexible and can work alongside other third-party vendors because we work on Zero Balance Accounts / Write-offs.
Our team is committed to helping you enhance pharmacy revenue integrity.

Results of our Revenue Recovery solutions

In New Jersey, an academic health system saw an additional $1.72M in revenue in the first 18 months of working with us. There, NDC coding issues accounted for over $1.5M in hidden revenue.

*These numbers are based on previous customer results. These results depend on a variety of factors that are unique to each business. There is no guarantee that your results will be similar.

 

Results Revenue Recovery solutions

One large health system in Virginia collected an additional $1.63M in revenue in less than a year after uncovering issues such as incorrect charge amounts and incorrect codes.

*These numbers are based on previous customer results. These results depend on a variety of factors that are unique to each business. There is no guarantee that your results will be similar.

 

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