Formulary Management
Remedi SeniorCare provides facilities with proprietary and comprehensive Formulary Management tools. Our tools allow facilities to realize significant savings before drugs are dispensed, and provide real-time data on drug utilization and costs.
Automatic Therapeutic Interchange (ATI)
Get real-time automatic substitutions of selected medications based on the most clinically appropriate, lowest cost alternative and/or formulary covered alternative. Because it is automated, there’s no need for nurse or doctor calls. ATI reduces Medicare Part A costs, improves Medicare Part D formulary compliance, and reduces time spent on managing non-formulary and prior authorization issues.
Automated Claims Management
Remedi SeniorCare’s Automated Claims Management software makes the processing of 3rd party claims like Medicare Part D smoother and easier, helping to prevent claims from dropping to the facility bill. ACM offers:
- Automated claim resolution tracking
- Automated outstanding non-covered claims report
- Automated creation of CMS Prior Authorization forms
- Suggested alternatives to non-formulary medications
- Automated claim resubmission to detect successful prior authorizations and formulary coverage
- Facility notification regarding unresolved issues
Up-to-date reference and resources
Use My RemediSM to stay up to date on the latest Medicare changes.
Real-Time Alerts
Receive alerts and suggested alternatives in real-time when a medication is not covered by a resident’s formulary.
Yearly Medicare Part D Plan Reference Guide
Find out the latest changes in formulary coverage, limitations and restrictions for each Medicare Part D Plan, making this a valuable tool for your admissions coordinator, social worker, Director of Nursing and Facility Administrator.