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Thread Topic: pharmacy billing medical benefits
Topic Originator: melissa
Post Date January 15, 2014 @ 12:02 PM
pharmacy billing medical benefits

January 15, 2014 @ 12:02 PM Reply  |  Email Friend   |  |Print  |  Top

I work for a pharmacy. We are doing billing for hemophiliac medications that are falling under some medical benefits.

1/ We are located in NY and the medications are going out of state. Would our place of service be our Pharmacy or the pts home? as if we list the home its telling us our Medicare #s are not valid in that state. But if we try to apply for MCR #s in that state it tells us we are already credentialed in NYS???

2/ We are jumping thru hoops with some ins cos specifically Medicare. Does anyone have any experience with this type of billing??
I have been a biller for years but this part B part d billing for a medication that is so expensive, no one wants to cover and we keep getting the run around HELP PLEASE!!!!

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