We know that growing your pharmacy’s clinical services business can be daunting. Different states and payers reimburse for different clinical services, plus there’s training, credentialing and contracting to consider. It can be hard to know where and how to get started.
The OmniSYS Training Center is your one-stop shop for understanding the clinical services landscape and expanding clinical services at your pharmacy. We outline reimbursable clinical services available by state, provide detailed training on navigating the insurance payer enrollment process and guide you through the credentialing and contracting phase.
One of the biggest barriers to growing clinical services is understanding which services are reimbursable by state and payer. The clinical services available in your state depend on both state law and payer acceptance. The OmniSYS Training Center takes the guesswork out of this process, outlining reimbursable clinical services by all 50 states, payers that supports each clinical service and the necessary accreditation steps your pharmacy needs to provide certain services.
In order to receive reimbursement for clinical services, you must achieve an in-network or contracted status with insurance payers. We provide all of the necessary forms, links and processes you will need to find your way through the difficult payer world and successfully contract with payers including:
There are two reimbursable programs for patients with diabetes that can add value to your pharmacy’s clinical services: the Diabetes Prevention Program (DPP) for patients with prediabetes and Diabetes Self-Management Education Training (DSME/T) for patients living with diabetes. With step-by-step video training and helpful guides, we will walk you through how to set up successful DPP and DSME/T programs, including how to bill for these services with Medicare, Medicaid and commercial payers.
Ensuring that you know the necessary accreditation steps your pharmacy needs to provide certain services.
We provide all of the necessary forms, links and processes needed to successfully contract with payers.
The OmniSYS Training Center helps you understand which services are reimbursable by state and payer.
Tell us about your pharmacy so we can match you with a clinical services expert that meets your needs.