ResourceRxs Healthcare Administration Services and Solutions

ResourceRxs administrative solutions benefit our clients.

ResourceRxs specializes in providing administrative and regulatory solutions within the pharmacy benefit management-related and managed care industries. We offer contract language and performance guarantee reviews, Request for Proposal (RFP) written responses, provider credentialing and background checks, and revenue cycle management / reimbursement analyses.

Policy / Procedures and Compliance
ResourceRxs provides policy and procedure standards and compliance writing and reviews that better meet federal, state and accreditation requirements (URAC, NCQA).

FWA Mitigation
ResourceRxs partners with leading experts to bring you solutions that mitigate Fraud Waste and Abuse (FWA) risk within provider networks including primary source verifications (NPI, NPPES, LEIE, EPLS, OIG/SAM, state Medicaid exclusions, state disciplinary boards and license boards, Death Master File, etc.). Contact us to review your commercial or governmental pharmacy and managed care contracts with PBMs, pharmacies, health plans, TPAs, unions, hospitals and other healthcare providers.

Revenue Cycle Management
ResourceRxs consulting partners offer expertise in the areas of managed care and pharmacy benefit revenue cycle management.

Conference and Trade Show Services
ResourceRxs and its consulting partners represent healthcare company interests at important conference and trade show venues gathering industry intelligence and pre-sale opportunities. We then synthesize our data and report back to you with industry insights and trends. We can represent your company at important trade shows and deliver valuable outreach follow up information and sales opportunities.