CORAL GABLES, Fla.--(BUSINESS WIRE)--TransactRx, the nation’s leading provider of vaccine billing solutions, today announced the launch of a complete billing and contracting solution for public health departments. The solution provides all the tools necessary for a local health department to establish a comprehensive third party billing program including web based claims management applications, connectivity to payers through the TransactRx Clearinghouse, participation in the TransactRx National Immunization Network and payer contracting support services.
Local public health departments are primary providers of vaccine administration and preventative care services for children and adults in the nation’s healthcare infrastructure. Historically, the vast majority of services were provided to people with limited incomes or no insurance coverage free of charge with the costs being born by local, state and federal government agencies. Because of this, health departments have not implemented the same practice management and billing systems as physician offices and other medical providers. A combination of increasing numbers of patients with insurance utilizing local health departments and funding pressures have lead to a national initiative lead by the Centers for Disease Control and Prevention (CDC) and funded by the American Recovery and Reinvestment Act of 2009 (ARRA) to implement the systems necessary for local health departments to bill for services when patients do have insurance coverage for those services. TransactRx has built from the ground up a billing and payer contracting solution, that includes specific functionality and services needed by health departments, that is being offered under a pricing structure that fits the unique financial position of a local health department.
“We are proud to be a part of the efforts to insure that local health departments across the country can continue to provide essential health care services to the children and adults in their communities,” said Jack Guinan, TransactRx CEO. “We were able to leverage our unique experiences in providing low cost, easy to use vaccine billing services to create a solution that does not require any additional staff or billing knowledge at the health department and at a cost that fits with their reimbursement levels.”
The solution moves all the complexity of bill coding from the health department staff to the TransactRx system. Patient information is entered and services are selected from a simple pick list and the system takes it from there. All standard and payer specific coding rules and fee schedules have been programmed and are continually updated at the TransactRx Clearinghouse. When the encounter information is submitted the system performs insurance eligibility, codes the performed services according to the receiving payer’s rules, checks charges against the appropriate fee schedule and electronically submits a clean claim to the payer. TransactRx manages claim acknowledgements, rejects and payments.
In addition to the systems aspect of the solution are the payer contracting support services. TransactRx provides expert assistance to the health departments in obtaining the contracts needed to provide services to the broadest set of patients in their community. Payer contracting is a time consuming task that requires staff with experience that local health departments historically have not had to employ. TransactRx makes the contacting process as painless as possible for the health department staff so they can focus on patient care.
ABOUT TRANSACTRX
POC Network Technologies, Inc. d.b.a. TransactRx is a leading national provider of reimbursement solutions for vaccines and specialty pharmaceutical products administered at the point-of-care. The Company’s TransactRx proprietary technology platform seamlessly connects the nation’s pharmacy and medical transaction infrastructures to enable physicians, public health departments and pharmacies to check coverage information and submit claims for both medical and pharmacy benefits. The Company’s unique national provider networks significantly reduce the cost and effort associated with contracting a large number of providers to administer a particular vaccine or group of pharmaceutical products. The combination of technology and provider networks assists payers of all types including Medicare, Medicaid, Commercial and Employer plans to increase access to vaccines for their members and increase immunization rates.
Visit us at our exhibit at the NACCHO Annual Conference in Los Angeles July 11 – 13 or on-line at www.transactrx.com.