PHARMACY CREDENTIALING AND PAYER ENROLLMENT

Reduce the administrative burdens of credentialing and payer enrollment

PHARMACY CREDENTIALING AND PAYER ENROLLMENT

Reduce the administrative burdens of credentialing and payer enrollment

CREDENTIALING EXPANDS YOUR CLINICAL SERVICES

As the pharmacist’s role becomes increasingly important in healthcare delivery, pharmacies are in a position to expand their clinical service offerings. Since many clinical services are covered under the medical benefit, credentialing and payer enrollment is a requirement. Learn how OmniSYS can reduce the administrative burden of practitioner credentialing and payer enrollment for  services, supplies, and medications that may fall under the medical benefit for coverage.

WHAT YOU MAY NEED CREDENTIALING FOR

  • Immunizations
  • Hormonal contraceptive prescribing
  • Tobacco cessation
  • Value-based care, gaps in care (e.g. A1c)
  • Medical nutrition therapy (MNT)
  • Diabetes self-management training (DSMT)
  • Point-of-care testing (e.g. COVID-19, influenza, strep)
  • Oral anti-cancer, immunosuppressive and respiratory medications
  • Durable Medical Equipment (DME)
  • Diabetic testing supplies
  • Over-the-counter hearing aids
  • Preventative counseling

CREDENTIALING AND PAYER ENROLLMENT SERVICES

Understand credential and enrollment requirements

Learn which clinical services, supplies, and medications have medical coverage, by state and payer, for your organization and practitioner combinations.

Get Expert Assistance with Forms and Applications

Let the OmniSYS team take care of the enrollment form preparation and applications for customer confirmation.

Credentialing=POCT-pharmacy

Experience Easy Payer Renewals

OmniSYS manages the practitioner renewals  for both governmental and private health care payment programs, as well as membership application renewals for inclusion on private payor healthcare provider panels.

Gain Insight with Reporting and Analytics

 Gain insight into credentialing status queues and throughput across practitioners.

Pharmacy credentialing makes clinical services easier. Where do you want to start?

Tell us a little about your pharmacy business so that we can match you with the right technology expert for your needs.