AbacusRx offers the DME option to the Visual Pharmacy
Plus software as a fully integrated Medicare DME
claims processing feature. The DME 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,
Process your Medicare DME claims real-time by
transmitting the DME claim just like any other on-line
The Pharmacy Plus software provides pharmacies a
and thorough method for billing Medicare claims
the Pharmacy Plus software eliminating the need for
additional costly software.
The Medicare claims are
thoroughly and effectively processed.
accepted by pharmacy or patient and payment remitted
to pharmacy, corporate office, or patient.
of benefits handled whether Medicare is the primary
or secondary insurer. Other insurance amounts
automatically reported to participating secondary
claim is processed at the point-of-fill and the
claim is captured:
Edits include, but are not limited to:
NPI, DEA, UPIN number and demographic verification.
ID and demographic verification.
coverage and automatic modifier determination.
price, minimum/maximum quantity verification.
code to product verification.
of Benefits, and patient/pharmacy assignment.
too soon and patient annual deductible verification.
quantity conversions from pharmacy to CMS standards.
items may be submitted when required by state
Spanning compliance enforced on diabetic and enteral
Research & Resubmit service available to all
your claim has passed the extensive edit checks, a
response is instantly returned to your system.
We carry forms that meets current CMS
requirements and is available in continuous
or sheet format, one or two-parts. Our
non-continuous forms can be imprinted with
your pracitice's information and are
available with or without bar code.
CMS-1500 Insurance Claim Forms
Insurance Claim Envelopes
UB-92 CMS-1450 Claim Forms
CMN Forms for Durable Medical Equipment
Register online (Register)
or call us
directly at 305-220-0400.