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Genezen Healthcare
15280 Addison Rd.
Suite 250
Addison, Texas 75001
Phone: 214.269.2350
Fax: 214.269.2392
Toll-Free: 866.436.3936
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Reimbursement Issues
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Collection of Data – Central data collection and assimilation is critical in maintaining the highest level of care. Our clinicians begin standardized data collection before the patient’s first infusion and continue throughout therapy. This data quantifies greater compliance and superior outcomes, justifying acceptable reimbursement rates.
Billing and Reimbursement Expertise – We pre-authorize and verify coverage on behalf of each physician for every patient. We also access avenues for co-pay and indigent care assistant on behalf of the patient to reduce bad debt expense while allowing more patients to be treated. Our personnel are on hand as necessary for medical review or outside audit.
Plan for Reimbursement Pressure – As Medicare and managed care explore ways to cut reimbursement for drugs and services, having a plan and sufficient data to demonstrate cost-effectiveness is indispensable. The top priority of our reimbursement department as patient advocate is to insist on reasonable reimbursement. In addition, our low cost, high quality model can sustain pricing pressures in an environment where traditional models have folded. Our goal is to keep patients on service, in the physician’s office, even in an environment of compressed reimbursement.
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