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Global Pharmacy Billing Software Market Capitalizes on Increasing Demand for Faster Reimbursement of Health Insurance Claims

No matter how or how small a healthcare organization, pharmacy billing constitutes a critical function in its day-to-day operations.
Published 16 December 2015

No matter how or how small a healthcare organization, pharmacy billing constitutes a critical function in its day-to-day operations. Pharmacy billing is the practice of translating a medical service into a billing claim. It is often submitted to a healthcare insurance company for reimbursement. While pharmacy billing is integral to the functioning of any healthcare organization, one cannot deny that it is a complex procedure requiring the time and services of many skilled professionals. For instance, it is crucial to maintaining a patient’s medical record throughout the period of his treatment or hospital stay. After the patient or patient’s family provides the necessary insurance details to the hospital, the latter starts the pharmacy billing procedure, which is also often called a revenue cycle management. Before the hospital finally submits the pharmacy bill to the insurance company, both medical services and treatments are allotted a specific alphanumeric code as per a standardized system. It is only after this that the insurance company decides the part of the claim to be paid or not paid for.

 

The complete process of pharmacy billing, before the development of global pharmacy billing software market, was way complicated. It became a foreboding task for any healthcare organization to keep track of every minute detail and record it. Storing the physical data of such medical records was also a herculean task, making pharmacy billing a nightmare for most healthcare professionals as well as a new addition to the list of worries for patients and their families.

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Increasing Demand for Better Management of Clinical Records Boosts Global Pharmacy Billing Software Market

 

To mitigate issues discussed above, and to make medical record-keeping less a herculean task, pharmacy billing software was introduced. The novel technology comes with many advantages, the most critical being:

  • Quick and easy data entry, with reduced chances of duplication
  • Efficient reduction of claim denials
  • Easy tracking and analysis of financial performance of healthcare organizations. 

The global pharmacy billing software market at present comprises two segments, namely, electronic medical records (EMR) or electronic health records (EHR) software and revenue cycle management (RCM). Increasing demand for better management of clinical information and accounting documents of patients are the primary factors fuelling demand from the global pharmacy billing software market. Furthermore, globally, there is a high demand for the smooth coordination between insurance companies and health organizations for faster reimbursement of insurance claims, which gives a significant boost to the market for pharmacy billing software. 

 

Asia Pacific to Emerge as Lucrative Market for Pharmacy Billing Software Companies 

 

Among the key regional segments of the global pharmacy billing software market, North America holds the leading position, followed by Europe. Up-to-date and proactive medical services offered in these regions minimize the chances of billing errors. This is key factor behind the high growth rate of the pharmacy billing software market in these regions. Furthermore, Asia Pacific is emerging as a lucrative regional market for pharmacy billing software. Robust growth of healthcare expenditure in keeping with the region’s increasing population is the key factor amplifying the demand for the latest technologies such as pharmacy billing software in the region. Growing demand from individuals for faster reimbursements of providers’ claims also aids the market’s growth in Asia Pacific. 

 

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