DMERx™ "Durable Medical Equipment"

AbacusRx offers the DMERx™ option to the Visual Pharmacy Plus software as a fully integrated Medicare DME claims processing feature. The DMERx™ Billing module is integrated at the point-of-sale using the Visual Pharmacy Plus™ enhancements as an additional on-line third party. The Visual Pharmacy Plus™ software provides pharmacies a convenient and centralized method for billing Medicare claims at the point-of-fill, eliminating the need for additional costly software. This all-in-one integration insures accuracy while significantly improving processing efficiency and opera

Our real-time edits enforce compliance to CMS (formerly HCFA) policy significantly reducing costly rejects. The Medicare claims are thoroughly and effectively processed, with adjudication taking place within a secure and efficient environment. Assignments are accepted by pharmacy or patient and payment is remitted to pharmacy, corporate office, or patient.

Process your Medicare DME claims point-of-sale using the pharmacy system just like any other on-line third party. 

The Visual Pharmacy Plus™ software provides pharmacies a convenient and thorough method for billing Medicare claims point-of-fill through the Visual Pharmacy Plus™ software eliminating the need for additional costly software.

The Medicare claims are thoroughly and effectively processed.

• Assignment accepted by pharmacy or patient and payment remitted to pharmacy, corporate office, or patient.
• Coordination of benefits handled whether Medicare is the primary or secondary insurer. Other insurance amounts automatically reported to participating secondary insurer.
• Each claim is processed at the point-of-fill and the complete claim is captured:

Edits include, but are not limited to:

• Doctor NPI, DEA, UPIN number and demographic verification.
• Patient ID and demographic verification.
• Product coverage and automatic modifier determination.
• MAC price, minimum/maximum quantity verification.
• Diagnosis code to product verification.
• Coordination of Benefits, and patient/pharmacy assignment.
• Refill too soon and patient annual deductible verification.
• Automatic quantity conversions from pharmacy to CMS standards.
• Non-covered items may be submitted when required by state medicaid.
• Date Spanning compliance enforced on diabetic and enteral supplies.
• Backend Research & Resubmit service available to all providers.
• After your claim has passed the extensive edit checks, a response is instantly returned to your system.

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