BillPro Rx, LLC

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Really good attendance at PCCA’s International Seminar this year in Houston.

CALL TO ACTION: | WCPRI

Join Workers’ Compensation Pharmacy Resource Institute (WCPRI). Together likeminded stakeholders are making a difference. Join today, it's FREE http://wcpri.org/call-to-action/

wcpri.org » CALL TO ACTION: |

Workers’ Compensation Pharmacy Resource Institute (WCPRI) is a newly formed consortium that brings together likeminded stakeholders who dispense prescriptions to injured workers.

A full and productive day planned at CPMS.

Why BillPro Rx?

Great meetings this week at ACA/IACP/ACCP Educational Conference this week.

2016 ACA / IACP / ACVP Educational Conference

events.r20.constantcontact.com Don't miss this one-of-a-kind, 3-in-1 conference that brings the pharmacy profession together in paradise. The American College of Apothecaries (ACA), the International Academy of Compounding Pharmacist (IACP), and the American College of Veterinary Pharmacists (ACVP) are joining forces again to bri…

AIG Sees Profits in Tracking Workers’ Moves

wsj.com American International Group Inc. said it has invested an undisclosed sum in a maker of wearable devices designed to monitor the movements of employees in factories, on construction sites and at other hazardous workplaces to reduce on-the-job accidents.

PCCA International has just kicked off

Good meeting with PCCA National Sales Team in Scottsdale, AZ

I'm looking forward to the PCCA International Seminar.

TownHall keynote, Alex Carpio, Workers' Comp Attorney office today.

Executive to Watch: Matt Wanderer | Profile Magazine

Congratulations on a very nice write-up of a valued BillPro Rx partner! In 2014, Restore Health rose to the rank of 36 on Inc. 500’s fastest growing company list.

profilemagazine.com Online Exclusives Matt WandererExecutive to Watch: Matt Wanderer Restore Health has been a leader in personalized medicine for over 30 years. Matt Wanderer, the CEO, has led the company on an incredible path of growth. In 2014, Restore Health rose to the rank of 36 on Inc. 500’s fastest growing comp…

BillPro Rx supports Red Nose Day!

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BillPro - PCCA’s Exclusive 3rd Party Biller for Workers’ Compensation

PCCA President, Jim Smith speaking at 2014 International Seminar.

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International Seminar 2014

The new BillPro Rx office in Scottsdale, AZ.

Welcome to BillPro Rx! Our new office in Scottsdale, AZ.

TRICARE® Update — Protect My Compounds

http://www.protectmycompounds.com/tricare/ In these turbulent waters of payor changes and threats of PBM contract cancellations with compounding pharmacies, BillPro Rx is the rudder that will stabilize profitability for compounding pharmacies.

protectmycompounds.com TRICARE, the health care program serving Uniformed Service members, retirees and their families worldwide, recently announced that they will no longer pay for compounded medications that use APIs. We believe that compounded medications serve a valuable medical need by providing patients and their pr…

BillPro's new Scottsdale office.

Scottsdale, AZ is hot, but Beautiful.

TRICARE® Update — Protect My Compounds

Express Scripts to stop paying for compounded medications http://www.protectmycompounds.com/tricare/

www.protectmycompounds.com TRICARE, the health care program serving Uniformed Service members, retirees and their families worldwide, recently announced that they will no longer pay for compounded medications that use APIs. We believe that compounded medications serve a valuable medical need by providing patients and their pr…

Spending this week in the new Scottsdale office. Should be a very productive week with some key meetings scheduled.

BillPro Rx, LLC

State Legislative Issues

Several states that passed significant reform legislation in the last two years are working to implement those reforms. Passing a law is only the first step, as the rules, regulations and implementation of those laws determines if they will achieve their intended purpose. The most significant issues to watch are in California, New York and Oklahoma.

State Legislative Issues

Several states that passed significant reform legislation in the last two years are working to implement those reforms. Passing a law is only the first step, as the rules, regulations and implementation of those laws determines if they will achieve their intended purpose. The most significant issues to watch are in California, New York and Oklahoma.

Vendor Consolidation

In the last few years, there has been significant vendor consolidation in the Workers’ Compensation industry. First with TPA’s and most recently on the medical management and PBM side. Much of this consolidation was driven by private equity investments where the tremendous medical spend in workers’ compensation is seen as an opportunity for a profitable return on investment.

All this consolidation is making buyers of these services uneasy. They question how this consolidation will affect the quality of the services they receive and wonder how their goals of reducing costs align with private equity’s goals of increasing revenues. These are legitimate concerns, and it is imperative that buyers remain vigilant concerning vendor partners. Who is really looking out for you and is patient care going to suffer?

BillPro Rx, LLC's cover photo

Bill Pro RX - third party billing partner for compounding pharmacies

My new company website is www.billprorx.com

billprorx.com Experts in third party billing for Workers' Compensation compounded prescription claims. Pharmacies who partner with BillPro Rx are able to bill multiple payers through a single touch point in real time.

The Affordable Health Care Act (AHCA) and its Impact on Workers’ Comp

There have been a lot of questions about the possible impact that the AHCA will have on Workers’ Compensation. Some speculate that it will increase leakage from group health to Workers’ Compensation, while others feel it will have the opposite effect. One thing for certain is that with increased coverage being provided on the group health side, the overall utilization of services will go up. With a finite number of medical providers available, this means it is imperative that employers identify the providers who deliver the best clinical outcomes for their injured workers. The focus on Workers’ Compensation medical networks will need to change their focus from discount, discount, discounts, to quality of care and best outcomes. This may cost more on a fee-for-service basis initially, but getting appropriate, customizable, and timely care will generally lead to faster return-to-work, ensure the proper treatment and ultimately lower costs over the live of the claim.