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Chief Operating Officer Explains How To Transform Inefficient Dermatology Offices feat. Angela Lee
The role of a biologic coordinator is crucial in the healthcare industry, particularly in the field of dermatology. Angela Lee is a biologic coordinator and Chief Operations Officer of BC Educators, an organization that offers in-office training and virtual biologic coordinators to create a single point of contact.
Biologic coordinators work closely with healthcare providers, staff, and pharmaceutical companies to ensure patients have timely and efficient access to their needed medications. Angela Lee explains the challenge in obtaining prior authorizations is ensuring that all necessary information is documented and provided to the insurance company.
“You need to have a single point of, a single person that will make that can help handle that mess," explains Angela Lee on That’s Derm Good!
Biologic Coordinators are Crucial to Dermatology OfficesDermatology office staff must appreciate the importance of gathering patient information, such as their medication history and any tried and failed therapies. This information is crucial for insurance companies to determine the medical necessity of a prescribed treatment because having a vast knowledge of the patient's medical history benefits the patient and their care.
"It is all in the details. I cannot stress that enough," shares Angela Lee on the That’s Derm Good! podcast.
Angela explains that one of the critical aspects of being a biologic coordinator is the ability to navigate the complex landscape of biologics and specialty medications. These medications often require prior authorizations, which involve gathering and submitting documentation to insurance companies to demonstrate the medical necessity of the medication.
Documentation is Everything!Biologic coordinators play a vital role in this process, ensuring that all the necessary paperwork is completed accurately and promptly. They also work with pharmacy benefit managers to advocate for patients and overcome any barriers that may arise during the approval process.
One aspect of a biologic coordinator's role is managing the Merit-Based Incentive Payment System (MIPS). MIPS is a program that aims to transition physicians from fee-for-service to value-based care. It incentivizes high performance and penalizes those who do not meet program requirements. The biologic coordinator is crucial in ensuring that the office achieves high performance in MIPS and receives the associated incentives.
“What I love about MIPS is that it kind of gets people in the habit of doing things that they normally wouldn't," shared Angela Lee in Episode Four of That’s Derm Good!
Advertiser:Looking to equip your dermatology office staff better?
Work with BC Educators offers in-office training and virtual biologic coordinators to create a single point of contact for everything from prior authorizations to prescription acquisition and patient follow-up. To ensure patients have access to the medications they need, visit bceducators.com