|
Provider CSAO Introduced at APEX
At APEX in June, members were introduced to American Pharmacies’ newest strategic partner: Provider CSAO. Co-founders Preston Cranford and Will Burnson shared insights on clinical billing and led a panel featuring APRx Board Member Russell Pelzel and his son, technician Jarrett Pelzel.
“Provider CSAO has helped us better understand the credentialing and contracting process, and shared valuable strategies and tips for getting claims paid successfully," said Jarrett.
The Rise of Clinical Billing in Community Pharmacy
While clinical billing isn’t new, its role is rapidly growing in community pharmacy—especially in states with provider status, though opportunities exist nationwide.
Rx reimbursement can vary depending on the drug, plan, and days’ supply, and is sometimes insufficient—making clinical revenue increasingly important when applicable. While some clinical services can be billed out-of-network, maximizing reimbursement requires contracting with payers. The credentialing and contracting process is often complex, time-consuming, and demands resources many pharmacies lack. Having expert support readily available allows pharmacies to focus on patient care instead of administrative tasks.
Provider CSAO Simplifies Clinical Billing for Pharmacies
Provider CSAO works closely with pharmacies nationwide, offering personable, effective, and affordable support. Jeff Jacobs, American Pharmacies’ VP of Pharmacy Analytics & Clinical Services, emphasizes, “It’s one thing to invest the time in setting up contract reimbursement; it’s another to ensure it’s done correctly.” He adds, “Community pharmacies are busy and aside from their primary workload, have limited time to pursue initiatives that are inefficient or don’t yield measurable, sufficient ROI. Provider CSAO is an excellent resource for pharmacies looking to get paid for clinical services they may already be providing, and for navigating the challenging steps to get started.”
A Vetted, Trusted APRx Partner
At American Pharmacies, we carefully select and vet our partners to ensure alignment with our values. Only organizations that embody our culture of servant leadership and demonstrate a proactive approach are chosen as strategic partners, giving you confidence in our shared commitment to quality.
Are Your Valuable Clinical Services Going Unreimbursed?
Provider CSAO Can Help You Change That!
Provider CSAO empowers independent pharmacies to turn unreimbursed clinical services into profit, not sunk labor cost. As a membership-based service network, Provider CSAO manages medical contracts with top commercial medical payers like:
| 
