HMRx dealt with antiquated tools and processes, causing delays and lost revenue. The existing pharmacy software didn’t have the full reporting to sift through the information and expedite the Medicare Part D claims. And the amount of information required for each claim created dozens of barriers to receiving maximum reimbursement.
HMRx turned to their long-standing partner, Innovatix, a wholly-owned subsidiary of Premier, Inc., to meet goals and address obstacles. They had developed a new web-based tool, Scriptmax, to provide the needed pharmacy data analytics and adjudication services. This solution offered comprehensive pre-edit, post-edit, and reconciliation services.
Pharmacy operations at the state veterans’ homes now experience real-time claim validation, reducing incomplete and inaccurate claims and minimizing rejected claims. Scriptmax updates the average wholesale price (AWP), verifies national drug code numbers (NDC), and reviews brand name drugs for appropriate dispensing.
