340B Recovery

Maximize the savings on 340B.

Find the missed prescriptions written by qualified and referred-to clinicians to maximize your 340B savings. Alphaclinik 340B Recovery is a contingency-based solution that prioritizes compliance and is compatible with all TPAs and contract pharmacies.

Get more 340B prescriptions back from recommended and qualified providers.

With alphaclinik’s compliance-first solution, which works with every TPA and contract pharmacy to detect and automate what others can’t, you can streamline current pharmacy operations and optimize the value of the 340B program. Compared to other current solutions, alphaclinik 340B Recovery is the most efficient in recovering prescriptions from eligible and referred-to providers.

How to optimize the savings from the 340B program with 340B Recovery

With Alphaclinik’s compliance-first technology, which examines ineligible claims to locate prescriptions issued by qualified and referred-to clinicians, you can maximize the value of the 340B program. As demonstrated by Alphaclinik’s 100% audit pass rate, our technology is comprehensive, simple to use, and compliance-focused, in contrast to manual review and systems that lack unified data across all pharmacies.

Pharmacy directors, financial executives, and 340B program administrators use Alphaclinik 340B Recovery, which is based on the industry-leading 340B Referral Capture system, to consolidate the evaluation of ineligible claims into a single solution.

Automate the evaluation of invalid prescriptions

Claims that are eligible may be mistakenly labeled as ineligible due to minor technical flaws. Utilize our technology-enabled tool to connect outgoing recommendations to resulting prescriptions and to examine prescriptions submitted by qualified doctors.

Demonstrate that a referral owns the care.

Referral prescription compliance begins with an outgoing referral recorded in a patient’s record. Provide the patient encounter notes from the suggested provider to your providers so they can verify prescription eligibility and promote more thorough patient care.

Be certain of your compliance.

Our compliance methodology, which was created by professionals with over 45 years of combined expertise in 340B and pharmacy, is validated by HRSA audits conducted for our clients. In audited alphaclinik claims, 100% of the conclusions were negative. In order to guarantee 340B compliance, we also carry out internal audits. In addition, we collaborate with clients to examine policies, practices, and claims related to HRSA audits.

How to optimize the savings from the 340B program with 340B Recovery

Your physician practice and, more specifically, your revenue cycle demand a fresh approach to management in light of the numerous issues you face today. To jumpstart your revenue cycle success, pick up a copy of our e-book, Proven Revenue Cycle Strategies for Stronger Financial Outcomes.

In less than 90 days, raise the 340B capture rate.

Alphaclinik’s 100% contingency fee-based business model carries no risk. Here is an overview of how we collaborate:

Startup

You set up daily automated encounter and referral files from your EHR, sign pharmacy and TPA addenda, and have remote, read-only access to your electronic medical record system.

Review

You set up daily automated encounter and referral files from your EHR, sign pharmacy and TPA addenda, and have remote, read-only access to your electronic medical record system.

Recovery

For the most part, recovered prescriptions are immediately reprocessed as eligible as 340B Recovery interacts with the two largest retail pharmacy chains as well as an increasing number of TPAs. I have sent the others to you for your approval.

Continuous improvement

To ensure you’re constantly getting the best outcomes possible, operations professionals at Alphaclinik regularly assess implementation performance from beginning to end to find optimization opportunities.

Would you like to learn more about us? Getting started is the first step.