The provider carries the acquisition cost and the risk: if the claim is denied or the units are wrong, the drug is already gone. This is why unit calculation and NDC accuracy matter more here than anywhere else in billing.
The model in which a provider purchases a drug, holds it in inventory, administers it and bills the payer afterwards.
The provider carries the acquisition cost and the risk: if the claim is denied or the units are wrong, the drug is already gone. This is why unit calculation and NDC accuracy matter more here than anywhere else in billing.