Practice Implementation Center / CGM / Business Planning / Managing cashflow costs

Managing Cash Flow/Revenue Cycles/Receivables

Overview

This resource is designed to support individuals responsible for pharmacy business operations by providing a clear understanding of the revenue cycle management process for pharmacists’ services. It outlines the key distinctions between pharmacy and medical claims adjudication, including differences in processing timelines, payment terms, copay handling, collections, and receivables management. Additionally, it offers planning tools to support effective cash flow management. These insights are essential to help ensure that pharmacy operations maintain adequate cash flow to meet financial obligations while awaiting reimbursement.

Business Planning

The Practice Implementation Center Business Planning resources consist of step-by-step guides and tools to intentionally plan and design your services with sustainability and profitability in mind. These resources will give you a clear picture of what to expect in terms of revenue and expenses and help to ensure you can launch a service with a positive return on investment.

Resources Library

Assessing local patient mix

Guides you through how to determine your realistic patient population for new pharmacists' services.

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Assessing reimbursement rates

Outlines how to determine a realistic revenue estimate or forecast based on your unique payor mix.

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Assessing personnel time and related costs to deliver service

Outlines a process to account for costs related to staff providing new pharmacists' services.

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Assessing consumables and related costs to deliver service

Identifies various categories of consumable items needed to deliver and support a new pharmacists' service and provides guidance on how to calculate per-unit costs to better inform ordering and supply decisions.

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General overhead costs

Outlines concepts related to general overhead and the costs of doing business as well as providing methods and direction to account for incremental increases in general overhead when launching new pharmacists' services.

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Managing cashflow, revenue cycles, and receivables

Managing cashflow costs

Describes considerations for cashflow planning when launching a new service and how to optimize cashflow when performing medical billing activities.

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Inventory management

Outlines the process for managing pharmacy inventory effectively.

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Legal Notice

Information on this website is provided by the American Pharmacists Association (APhA) for general educational purposes only and should not be construed as legal, financial, or medical advice. Users are responsible for their own business planning, compliance with laws and regulations, and review of contractual and billing requirements. APhA makes no warranties regarding accuracy or completeness and assumes no liability for actions taken based on this information.

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