Change Healthcare Simplifies Billing to Bring More COVID-19 Testing Options to Consumers
23 September 2020 - 1:00PM
Business Wire
New service enables pharmacies to manage
COVID-19 test billing within their traditional Rx claims processes,
driving the potential to dramatically expand U.S. testing
capabilities
Today Change Healthcare (Nasdaq: CHNG), a leading independent
healthcare technology company, announced a new solution that makes
it easier for consumers to get COVID-19 testing in their local
pharmacies. The company’s MedRx™ claims billing and consumer
engagement solution for pharmacies now allows pharmacies to easily
process and receive reimbursement for COVID-19 tests within their
regular workflow. Pharmacies can now electronically bill for
COVID-19 tests just as easily as they bill for prescriptions and
flu shots.
Earlier this year, the U.S. Department of Health and Human
Services authorized licensed pharmacists to order and administer
diagnostic tests for COVID-19. However, pharmacy testing was
complicated by the fact that many states issued their own policy
restrictions, and regulations continued to shift. In addition,
pharmacies are generally not equipped to manage electronic medical
billing, as it requires a format not used for prescriptions.
Pharmacists struggled to figure out which testing code to use for
each commercial and state Medicaid plan, and how to bill for tests
electronically.
Change Healthcare’s MedRx™ solution removes the guesswork
involved in COVID-19 claims submission. This solution enables the
expansion of pharmacy testing capabilities by empowering pharmacies
to get paid for a COVID-19 test within their normal workflow. The
process is simplified for both pharmacists and consumers. When a
customer requests a test, the pharmacist inputs their insurance
information for payment prescreening in real time. After the test
is conducted, the pharmacist simply selects the correct user code
and submits the claim, secure in the knowledge that claims are
billed in compliance with payer policies for the test kit and
sample collection.
“The healthcare industry is undergoing a digital transformation
in a time of this unprecedented crisis. We are in a position to
accelerate the transformation of the healthcare system through the
power of our platform to help drive expanded access for testing,”
said Mark Doerr, senior vice president and general manager,
Pharmacy Solutions at Change Healthcare. “Simplifying the billing
process for our customers helps pharmacies provide a critical
community service and build an important new revenue stream.”
The service is a natural expansion of Change Healthcare’s MedRx™
solution, which enables seamless pharmacy medical billing for items
such as durable medical equipment, diabetic supplies, and
immunizations.
To use the new service, pharmacies already live on MedRx Network
can reach out to Change Healthcare to share their plans for either
COVID-19 test collection or collection coupled with in-house
laboratory testing by contacting their account management team.
Pharmacies not currently using MedRx Network solutions can learn
how to access this new capability by contacting MedRx Network
solution sales.
For more information about how Change Healthcare’s MedRx Network
solutions support the billing process for COVID-19 diagnostic
tests, read the FAQs or visit the MedRx site.
For more information on Change Healthcare, please visit our
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About Change Healthcare
Change Healthcare (Nasdaq: CHNG) is a leading independent
healthcare technology company, focused on accelerating the
transformation of the healthcare system through the power of the
Change Healthcare Platform. We provide data and analytics-driven
solutions to improve clinical, financial, administrative, and
patient engagement outcomes in the U.S. healthcare system. Learn
more at changehealthcare.com.
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version on businesswire.com: https://www.businesswire.com/news/home/20200923005091/en/
Amy Valli Media Relations Change Healthcare 215-962-5531
amy.valli@changehealthcare.com
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