Proactively Solve Billing
Issues in Skilled Nursing

Clean Bill is the only PointClickCare solution on the market that enables seamless connection between skilled nursing facilities (SNFs) and LTC Pharmacies, eliminating billing errors due to delays in updating payer coverage data.

Vista’s Clean Bill Solution

Keeping coverage data up-to-date between pharmacy and facility EHRs is a challenge that routinely creates billing errors when coverage changes from Medicare Part A to a new payer.

Clean Bill creates a seamless connection between EHRs that keeps coverage data up to date.

Prevents incorrect billing of drugs to SNFs and Post-Acute Care facilities

Developed in partnership with PointClickCare

Eliminates the need for month-end billing audits

ROI You can rely on:

Monthly Savings:

Additional Savings:

$
$
$
2000
2000
2000
+
+
+

PER FACILITY

Additional Savings:

$
$
$
500
500
500
$
$
$
1200
1200
1200

ON BILL AUDITING SERVICES

Get Started Today

How Coverage Gaps Cost
SNFs and LTC Pharmacies

When Medicare Part A coverage ends and a new payer covers drug costs, facility EHRs have to be updated with new coverage information.

If the pharmacy isn’t aware of this update in real-time,
it creates a coverage gap that results in the facility
being incorrectly billed for subsequent medications.

When Medicare Part A coverage ends and a new payer covers drug costs, facility EHRs have to be updated with new coverage information.

If the pharmacy isn’t aware of this update in real-time, it creates a coverage gap that results in the facility being incorrectly billed for subsequent medications.

How Coverage Gaps Cost
SNFs and LTC Pharmacies

When Medicare Part A coverage ends and a new payer covers drug costs, facility EHRs have to be updated with new coverage information.

If the pharmacy isn’t aware of this update in real-time, it creates a coverage gap that results in the facility being incorrectly billed for subsequent medications.

Coverage changes during a residents stay

SNF

Medicare Part A Ends

New Payer Begins

COVERAGE GAP

Pharmacy Updated with New Coverage Data

Pharmacy

SNF

Medicare Part A Ends

New Payer Begins

COVERAGE GAP

Pharmacy Updated with New Coverage Data

Pharmacy

Beyond the erroneous drug bills for SNFs,
these errors add to growing workloads,
eating up valuable time every month.

Beyond the erroneous drug bills for SNFs,
these errors add to growing workloads,
eating up valuable time every month.
Beyond the erroneous drug bills for SNFs, these errors add to growing workloads, eating up valuable time every month.

THE PROBLEM FOR

SNFs

Dependent on month-end billing audits to catch errors

Staff have to fix billing errors, chase corrections and returns

Untimely corrections mean erroneous costs cannot be reconciled

THE PROBLEM FOR

Pharmacies

Pharmacy billers have to verify coverage by manually auditing census reports

Coverage data must be retroactively corrected

Dependence on month-end data still leaves facility with drug costs other payers should be billed with.

THE PROBLEM FOR

Pharmacies

Pharmacy billers have to verify coverage by manually auditing census reports

Coverage data must be retroactively corrected

Dependence on month-end data still leaves facility with drug costs other payers should be billed with.

The Solution = Clean Bill

The Solution = Clean Bill

Clean Bill saves time, money, and resources by stopping incorrect charges and irreconcilable claims from being generated at the point of sale.
Clean Bill saves time, money, and resources by stopping incorrect charges and irreconcilable claims from being generated at the point of sale.
Clean Bill saves time, money, and resources by stopping incorrect charges and irreconcilable claims from being generated at the point of sale.

Powered by Vista’s commercial adjudication platform

Coverage information for residents is updated in SNF and pharmacy systems

Pharmacy staff receives real-time alerts if a medication is being incorrectly billed due to payer changes

Claims are submitted on time to the correct payers

Eliminate Billing Issues Today

Speak to one of our experts and learn how easily Clean Bill improves billing accuracy and operations.

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