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Case Studies.

Third-Party Pharmacy Solutions

Challenge

A Health System with 14 pharmacies processing 50 Payers was faced with varied store reconciliation systems, accounting control challenges, high write-offs, and the inability to access payer specific metrics and reporting 


Solution

“Our pharmacies were operating on disparate systems that made reconciliation nearly impossible.  There was an obvious potential for revenue losses.  We had a real need for consolidation of these systems as well as re-allocation of our pharmacy personnel resources.  Carolina Services’ PRISM had a proven track record of delivering measurable outsourcing benefits to pharmacies.  It was the ideal solution for us.”

– Manager, Pharmacy Business Services


Impact

he PRISM A/R solution reduced the Health System’s data processing, reconciliation, IT, and cash application resources by 100%.  It significantly reduced write-offs and operating expenses and within the first 6 months of processing with PRISM, found $260,000 in missing or misdirected checks.  Reporting and accounting control improved and the system was consolidated.  Electronic remittance increased from 76% to 92%.

 



 

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