MedRx Medicare & Medicaid DME
A solution for pharmacies that want to determine eligibility for Medicare and Medicaid DME, reduce denials, maximize reimbursement, and submit claims electronically through existing pharmacy management systems.
Determine eligibility for medical supplies at the point-of-sale to reduce DME denials and maximize reimbursement.
Receive a messaging alert at the point-of-sale if your usual and customary pricing is below the plan’s allowable amount.
Facilitate fast, clean claim submissions for Medicare Part B and Medicaid DME by obtaining real-time eligibility information and front-end edits.
Simplify billing by submitting your DME claims in the standard NCPDP format using your existing pharmacy management system.
Have your claims subjected to CMS policy, format and cardholder eligibility edits to help ensure compliance, and ultimately reduce denials.
Easily bill for all major product categories, including diabetic supplies, ostomy supplies, inhalation drugs and supplies, oncology agents, immunosuppressive drugs, and hardware rentals.
Medicare Audit & Documentation Compliance
Pharmacists and pharmacy staff: learn how to be better prepared for an audit while earning Medicare Audit Compliance continuing education credit (CEC).