Learn About BillPro
Most Pharmacies lose thousands of dollars during audits for simple mistakes.
Automated Checking
BillPro swiftly analyzes prescriptions to ensure accuracy in billing and copays, among other aspects. By categorizing issues based on their severity, it facilitates a learning environment for staff to adopt best billing practices and quickly identify potential audit risks. This proactive approach not only streamlines billing processes but also enhances staff understanding and response to billing irregularities.
Customizable
Tailor BillPro to perfectly match your pharmacy's unique needs. Boasting an array of over 20 customizable settings, BillPro empowers you to define and adhere to your store's specific billing protocols, ensuring a personalized billing verification process.
Some of the Many Features of BillPro
BillPro is much more than just a list of features; it's the culmination of years of development, informed by real-life challenges and feedback from the pharmacy community. Each item on the feature list represents a sophisticated blend of technology and pharmacy know-how, simplified here for ease of understanding. While they might seem straightforward, these features address common billing errors that even the most diligent pharmacy staff can overlook, potentially leading to financial losses due to clawbacks.
In the high-stakes world of pharmacy audits, where insurance companies seize any opportunity to recoup expenses, BillPro serves as your first line of defence. It alleviates the pressure on your staff, offering peace of mind and financial security. As an independent pharmacy owner myself, I recognize the impossibility of manually auditing every transaction. BillPro offers a solution, combining speed and accuracy to ensure your billing is beyond reproach.
In the high-stakes world of pharmacy audits, where insurance companies seize any opportunity to recoup expenses, BillPro serves as your first line of defence. It alleviates the pressure on your staff, offering peace of mind and financial security. As an independent pharmacy owner myself, I recognize the impossibility of manually auditing every transaction. BillPro offers a solution, combining speed and accuracy to ensure your billing is beyond reproach.
- Ensures adherence to pack size restrictions set on Kroll
- Checks that brand cards are appropriately billed in the correct order
- Provides suggestions on best billing practices (ex. removing terminated plans)
- Checks that LU codes are appropriately applied for certain drugs (ex. Eliquis, Champix, Celebrex, Fluconazole, Prolia & more), with more being added regularly
- Considers gender based LU criteria for drugs such as Prolia to ensure the correct LU is applied
- Provides suggestions for brand cards that may be applicable to drugs to increase revenue & reduce patient costs
- Categorizes issues into 3 categories to ensure the more urgent ones are clearly labelled
- Ensures adherence to previous discounts when refills are processed
- Provides suggestions on days supplies for various vaccines and IUDs to ensure compliance with insurance plan requirements
- Provides guidance on various rejection errors
- Over 20 customizable settings that lets you personalize BillPro to your practice
- Works in the background if preferred to be more discrete and take up less screen real-estate
- Bulk checking of prescriptions by DIN to find issues over a large time period*
- Bulk checking of prescriptions by date to find issues over a date range*
- Able to work with your pre-programmed formulary to look for opportunities for increasing terms
- Provides suggestions on lower priced interchangeable products and takes them into consideration when calculating the expected vs actual copay
- Looks at the previous fill when considering if a refill is actually too early, including considering if it was due to a dose change and what insurance plan(s) are involved
- Looks at the previous acquisition cost vs current acquisition cost to ensure the copay being charged is appropriate
- Able to detect deductibles and ensure that they are not being waived incorrectly
- Able to detect potential pack size errors when billing insurance**
- Takes into consideration markup restrictions (ex. Indian Affairs, ODB test strips etc)
- Small file size - at under 8 MB in size, BillPro takes up next to no space on your terminals!
- Store settings on our web portal to allow them to be accessed and changed on all terminals at once
- Works on all terminals with no additional charge
- Advanced automatic brand card detection
- No fixed contract or term, cancel at anytime!
- BillPro has no access to modifying or otherwise editing data on your Kroll database. It (not so) simply, reads the relevant data to analyze and provide suggestions. All analysis is done on your local system, no patient data is ever transmitted to us or any other website, to ensure patient confidentialty is never breached.
* May require a higher level subscription plan to access
** In development, may not work as expected at all times yet
** In development, may not work as expected at all times yet