Argus Health Systems, Inc., one of the foremost pharmacy benefit administrator, will show up its Medical Drug Management Service (MDMS) in booth #319 at the America’s Health Insurance Plans (AHIP) Institute 2012, June 20-22, 2012, at the Calvin L. Rampton Salt Palace Convention Center in Salt Lake City. Argus is a leading independent provider of healthcare information management services helping commercial, Medicaid and Medicare Part D with a business model that provides complete transparency.
MDMS will make it possible to improve conformity through correctly editing and pricing medical drug claims, manage special medical costs, Medicare advantage plan computerize drug pricing administration, and lessen manual evaluation of medical drug claims. Medical claims can be examined with the same accuracy as pharmacy claims with the help of MDMS, with abilities like:
Fast and simple changes to the way you assess medical drug claims. Substantiation of claims pricing as per your own rules.Accuracy of Argus proven pharmacy claim management techniques applied for a medigap plan to medical drug claims.Customizable clinical and pricing rules for drugs with HCPCS Level II codes.Recognition of too much compensation that may result from fraud.Automatic identification of suitable interference opportunities.
For more information please visit us @ www.medigap4seniors.com, , or call us at 888-502-5553 to speak with one of our Medicare experts.