Reimbursement – Acute care


Reimbursement Hub / Private Office/Wound Care Center/Home Health / Long Term Care

We hope the video helped demystify reimbursement for you. During the inpatient stay, all prescription drug costs are included in the Diagnosis Related Groups (DRG) payment. There can be a copay or coinsurance while in the hospital, but there is no separate copay for pharmaceuticals used during a hospital stay. Upon discharge, any medication prescriptions would be treated as a Retail prescription.

For additional information on retail pharmacies click here.

Copay Assistance Prior Authorization Pharmacy-Initiated Request