Credentialing, audits, clinical programs and training for Illinois pharmacies.

Pharmacist credentialing

Help your pharmacists get licensed, certified and enrolled with payers.

• License tracking with IDFPR (the Illinois licensing agency) and NPI numbers (national provider numbers).
• Certifications for immunization, contraception, test-and-treat and BLS (basic life support).
• Certifications for HIV PrEP and PEP (prevention medicine taken before or after exposure).
• Enrollment paperwork for Illinois Medicaid through IMPACT (the state's provider enrollment system).
• Enrollment with HealthChoice Illinois plans (Medicaid managed care plans), CAQH (the shared credentialing database), commercial plans and Medicare.

Audit readiness

Find gaps in your charts and claims before a payer does.

• A baseline review of your workflows, documentation and billing.
• Quarterly chart and claims audits.
• A written list of fixes and a progress report for the owner.

Clinical program setup

Set up clinical services with the policies and billing in place.

• Standing orders and collaborative practice agreements with physicians.
• A policies and procedures manual, plus a step-by-step procedure for each service.
• Billing setup for medical and pharmacy claims, Medicaid, commercial plans and Medicare.

Services covered: vaccines, hormonal contraception, HIV PrEP and PEP, naloxone.

Test-and-treat covered: flu, COVID-19, strep, RSV (a common lung virus) and head lice.

Pharmacist and staff training

Training for every team member, with a record for each.

• On-site sessions, shadowing and online modules for pharmacists, technicians, front-end and billing staff.
• A competency checklist and a training record for each employee.
• Train-the-trainer handoff so your team runs it after we leave.