A $100 million infusion pharmacy was using the wrong billing code for two years.
Not fraudulent. Not flagged. Just wrong — and it was costing them real money on every single claim. You know what the payer said? Nothing. Because why would they?
This is revenue leakage. And it's one of the most common hidden costs we see in specialty and infusion pharmacy — missed prior auths from intake gaps, underpayments nobody catches, charges that slip through because the process built for 50 patients is still running on 2,500.
The number doesn't show up on a report. It just quietly disappears.
We covered this in Session 2 of the Pharmacy Intelligence Educational Series — and it's one of four hidden cost buckets that "good enough" data creates inside your operation.
Session 2 recording is ready. Session 3 is June 10th at 12 p.m. Central — we're getting into how pharmacy data actually moves and what the full lifecycle looks like. Both links are in the comments.
#pharmacycosts #infusiontherapy #healthcareefficiency #pharmacydata #healthcarefinance
Not fraudulent. Not flagged. Just wrong — and it was costing them real money on every single claim. You know what the payer said? Nothing. Because why would they?
This is revenue leakage. And it's one of the most common hidden costs we see in specialty and infusion pharmacy — missed prior auths from intake gaps, underpayments nobody catches, charges that slip through because the process built for 50 patients is still running on 2,500.
The number doesn't show up on a report. It just quietly disappears.
We covered this in Session 2 of the Pharmacy Intelligence Educational Series — and it's one of four hidden cost buckets that "good enough" data creates inside your operation.
Session 2 recording is ready. Session 3 is June 10th at 12 p.m. Central — we're getting into how pharmacy data actually moves and what the full lifecycle looks like. Both links are in the comments.
#pharmacycosts #infusiontherapy #healthcareefficiency #pharmacydata #healthcarefinance
Shared byElliot Lee - 11 days ago
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