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Craneware Showcases Pharmacy Innovation at ASHP Summer Conference
Date:6/3/2013

ATLANTA, June 3, 2013 /PRNewswire/ -- The Centers for Medicare & Medicaid Services (CMS) Recovery Audit Program is targeting hospital billing patterns for outpatient drugs and its audits have called into question millions of dollars in potential overpayments. To help hospitals mitigate the serious pharmacy compliance and revenue risk of overpayments, and to help identify underpayments, Craneware, Inc., the healthcare market leader in automated revenue integrity solutions, which pioneered technology for verifying pharmacy data in 2008; today announced that it will showcase its advanced Pharmacy ChargeLink® innovation at the American Society for Health-System Pharmacists® (ASHP) 2013 Summer Meeting and Exposition to be held June 1-5, 2013 in Minneapolis, Minn.

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One of the opportunities emerging from the Affordable Care Act's (ACA) focus on transparency is for healthcare leaders to establish a process for pharmacy revenue integrity and data governance across their hospitals and clinics. Widely used drugs, including Herceptin, Remicade and Lupron, are being targeted by recovery auditors (RACs), with strict consequences if claims are not accurate.

"Craneware solutions help hospitals be prepared to successfully defend their earned revenue in an audit and as part of this process we study the focal points that RACs are targeting," commented Craneware COO Derek Paterson . "More than half of the issues being targeted by recovery auditors are pharmacy related. Key among hospital pharmacy's vulnerabilities are questions about the medical necessity of drugs being dispensed and related documentation, incorrect HCPCS coding, and hospitals billing entire vials when they are deemed multi dose and should be billed as dispensed quan
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SOURCE Craneware, Inc.
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