Pharmaceutical reviews for cancer disease management and high-cost injectibles:

Paying for duplicate or incorrectly billed charges is something no one wants to do. Yet, sometimes they are difficult to find. Take for example complex pharmaceuticals. It is very easy for coders to incorrectly calculate the dosages and it can be very difficult to uncover these errors without the proper medical coding and pharmaceutical training.

EthiCare’s staff pharmacist works closely with our team of claims and coding experts to review high-dollar pharmacy charges for in-patient and outpatient hospital charges claims as well as those submitted by physicians and specialty pharmacies. Any discrepancies found during the review will promptly be brought to the attention of the provider. It is our goal in these cases to secure a signed release for the correct billed amount or to have the provider re-bill the claim.

And, EthiCare’s staff pharmacist is able to source high-cost injectibles through our strategic relationships with national and local specialty pharmacies that can help deliver these drugs to patients at costs often below AWP.

Plenty of more information is available about pharmacy reviews and sourcing injectibles. Please call us today at (888) 838-4422 x712 or
 

EthiCare Advisors, Inc.
 Medical Claims Settlement Specialists™
350 Clark Drive, Suite 104
Budd Lake, NJ 07828 USA
(888) 838-4422
(866) 662-4121 fax

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