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Hosted by Unknown Host · 🇺🇸 US · EN · 21 episodes
Established thought leaders with verified media credentials.
Revenue Rx is a podcast at the intersection of pharmacy and finance, designed to simplify the complexities of pharmacy revenue cycle management. Hosted by Lubna Mazin, PharmD, MS, 340B ACE a pharmacy leader with experience across health system operations, specialty pharmacy, and revenue cycle strategy, this podcast breaks down the systems that drive reimbursement, margin, and patient access. From drug pricing and payer dynamics to CMS updates and high-cost therapies, each episode translates real-world challenges into practical insights you can actually use. Whether you are new to pharmacy revenue cycle or deep in the work, Revenue Rx is your space to connect the dots, build confidence, and stay ahead in a rapidly evolving landscape. Healing patients is the mission. Protecting the margin is the strategy. This is Revenue Rx.
Unknown Host hosts Revenue Rx, a business show with 21 episodes published.
This episode breaks down how to build an effective team around a complex healthcare function, from identifying the work that needs to be done to determining the right roles, reporting structure, and timing for new hires.
Pass-through status is not a one-time CMS classification. It is a constantly moving pipeline, with new drugs entering protected payment status while others transition into standard OPPS reimbursement. In this episode of
Every HCPCS code billed under the Outpatient Prospective Payment System (OPPS) is assigned a status indicator. But what do those letter designations mean for reimbursement? In this episode of Revenue RX, we explore how C
In this episode of Revenue RX, we discuss why the NDC/HCPCS crosswalk serves as the "Rosetta Stone" of pharmacy billing, translating the language of pharmacy (NDCs) into the language of medical billing (HCPCS codes). Tak
Description CMS has proposed one of the most significant changes to 340B reimbursement since the Supreme Court's 2022 decision in American Hospital Association v. Becerra. In this special episode of Revenue RX, we break
Modifiers may be only two characters long, but they can make or break a claim. In this episode of Revenue RX, we explore why modifiers are like adjectives, adding the context that completes the story behind a claim. Lear
Description Revenue codes are one of the foundational elements of hospital billing, yet they are often misunderstood. In this episode of Revenue RX, we discuss what revenue codes are, how they function on the UB-04 claim
What if the UB-04 claim form wasn't just a collection of boxes and billing codes, but an epic story? In this episode of Revenue RX, we reimagine the institutional claim form as a journey through a medieval kingdom. The p
Healthcare reimbursement has a language all its own. In this episode of Revenue RX, we break down the essential reimbursement terminology that drives healthcare finance and pharmacy revenue cycle management. Whether you'
A practical walkthrough of the revenue cycle ecosystem and how each team contributes to moving care from access to payment. This episode explains the roles of managed care, preaccess, pharmacy, clinical teams, revenue in
The podcast explores the July 2026 HCPCS coding updates and their impact on pharmacy revenue cycle operations. It reviews new drug and biosimilar HCPCS codes, deleted and reinstated codes, CMS's continued approach to 505
The podcast explores how pharmacy revenue cycle leaders can use the midpoint of the year to evaluate financial performance, identify reimbursement risks, and strengthen operational processes before entering the second ha
The podcast delves into the operational significance of the 835 remittance advice file in pharmacy revenue cycle management. It emphasizes the importance of understanding and leveraging the 835 file for reimbursement int
In this week's episode, we dive into the different claim pathways used to bill medications, including NCPDP D.0 for pharmacy benefits, 837P for professional claims, and 837I for institutional claims. Takeaways Different
In this episode of Revenue Rx, we explore one of the most significant hidden threats in healthcare finance: pharmacy revenue leakage. The episode walks backward through the pharmacy revenue cycle, starting with reimburse
The bagging crisis in healthcare is a significant issue that impacts patient care, operational efficiency, and financial sustainability. It involves various models such as brown bagging, white bagging, orange bagging, cl
The podcast discusses the critical role of prior authorizations in determining reimbursement and highlights the importance of understanding the differences in reimbursement processes for pharmacy and medical benefits. It
This episode dives into the critical operational discipline of charge capture, highlighting the importance of bridging care delivery and reimbursement. It explores the advantages and risks of charge on administration and
This episode delves into the complexity of drug pricing and the impact of reimbursement on margin. It covers the alphabet soup of drug pricing, WAC, GPO pricing, the 340B program, ASP, AWP, and AAC. Takeaways Complexity
In this episode, we explore the April 2026 CMS HCPCS quarterly update and its significance for organizations. We delve into the HCPCS transaction file, the Addendum B, and the NDC to HCPCS crosswalk, emphasizing the impo
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Revenue Rx is hosted by Unknown Host. The show is categorised under Business (health) and has published 21 episodes.
Revenue Rx has published 21 episodes.
Revenue Rx regularly covers Business, Health, Fitness, Medicine. It sits in the Business category, with a health focus.
Revenue Rx is accessible for guests with genuine business expertise. A personalised, episode-aware pitch will still outperform a generic one every time.
Revenue Rx hasn't explicitly signalled guest openness in recent episodes. That doesn't rule out pitching. your hook just needs to be especially compelling and relevant to their recent content.
Episodes of Revenue Rx average 10 minutes. a focused format where a clear narrative arc and tight preparation matter most.
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