Frequently Asked Questions

Is point of care dispensing legal?

In 44 out of 50 states, it is absolutely legal for physicians to do point-of-care dispensing. The other states restrict what physicians can do but even those states still can dispense. The states that are restricted are:

  • New Jersey
  • New York
  • Massachusetts
  • Montana
  • Texas
  • Utah (only state where it is illegal)

Every Physician has the right to dispense medicine to their patients. State and Federal law requires physicians to dispense only properly labeled and packaged drugs. We will assist you on what licensing, if any is required by your state regulatory board. Typically it is a matter of completing a short form and paying a small fee.

Is Point of Care Dispensing time consuming?

Adding point-of-care dispensing actually can save time. Hours each week are wasted by calling pharmacies as well as taking pharmacy calls. It takes less than one (1) minute to dispense medication to a patient whether your staff uses the manual or computerized tracking system. It takes less than half an hour to learn the manual system and anyone can master the dispensing software within a couple of hours.

Can I choose any drug I wish to sell including a name brand drug?

The key to a successful formulary is picking out which drugs move fast and make the most profit. The reality is over time you will fine-tune the formulary to what makes the most sense for your practice. You may purchase some name brand drugs that cannot be obtained generic but in most cases, the dispensing program will consist mostly of generic medications. The computerized dispensing system provides detailed reports to help you choose the drugs that are the best choice for the practice. We'll provide you with time-tested formularies that are financially successful for other physicians making it easy to choose what is right for your practice.

Now that the Health Care Bill has passed, what impact will it have on the medical billing industry?

The Health Care Bill will not change anything about how our Licensees process claims. We have had a "national healthcare plan" since 1966; it is called "Medicare", and it provides affordable, accessible health care for all Americans over the age of 62.

The Health Care Bill builds on the existing healthcare system, and will simply cover millions of additional Americans who do not currently have insurance. It will use existing providers, doctors and insurance plans.

This means that if doctors are currently doing their own billing in-house, they will be burdened with processing a lot more claims. "Inefficient and poor quality care costs the nation at least $50 to $100 billion every year. Billions more are wasted on administration and overhead because of inefficiencies in the health care system. Processing paper claims costs twice as much as processing electronic claims. And given current trends, this problem will only get worse as health care spending is expected to double within the next decade.

What happens with insurance carriers that do NOT accept electronic claim submissions?

Most major carriers allow electronic claims submission. For those that do not, we will print your claim on a standard "1500 form" and mail it to the carrier.

Why should I prescribe Medical Foods to my patients?

The Medical Food Therapeutic System is a safe and effective way to manage the symptoms of disease states. Patients who receive Medical Food Therapies are able to restore functionality to their lives without the harmful side effects associated with pharmaceutical drugs.

What can I do as a physician to improve the number of approved claims?

Physicians improve patient care with in-office dispensing. In order to optimize timely reimbursements from third party payers the treating physician must:

  • List products by brand name, rather ingredients when making notes.
  • Establish medical necessity. Chart the method employed to determine level of pain, discomfort, depression, or other symptoms.
  • Indicate your intention to use a specific prescription for treatment.
  • Legible copies of insurance cards and/or correct insurance information
  • Accurate patient demographics
  • Valid Diagnosis or ICD-9 code
  • Legible prescription form

The blended benefit of the in-office dispensing system is that your patients have access to safe and effective treatment options while practice revenue increases without added overhead. CCPI will relentlessly follow up any denied claim so that each physician client receives the appropriate reimbursement.

How can I see the latest Explanation of Benefits forms?

EOB requests are handled by CCPI specialists. For EOB inquiries contact your sales rep, or email info@ccpicentral.com

What does the Complete Claims Processing Inc. fee include?

CCPI provides an array of services for the dispensing physician that no other billing company provides. In return for a 20% comprehensive management fee, dispensing physicians have access to:

  • Medical Food billing specialists
  • Workers comp liens and claims specialists
  • Medicare and private insurance specialists
  • Contracting, licensing, and utilization review specialists

CCPI is a full service billing company that provides specialized services to dispensing physicians enabling them to improve overall patient care.

 

More Information

Feedback

Feedback

Thank you for visiting ccpicentral.com. Your feedback in regards to the products and services we offer is important to us. Please take a minute to fill out the form below.


Email Address or Phone Number: