Run the math on what your pharmacy could capture.
Drop in your store count and weekly clinical encounter volume. Adjust the service mix and payer mix to match your reality. Get a defensible per-code annual reimbursement estimate at your current capture rate vs. what's possible with full documentation.
Your pharmacy
Service mix
Payer mix
Estimated annual reimbursement at full documentation across 6 stores · ~13,104 billable encounters per year.
Monthly breakdown
Per-code line items
Heritage Rx unlocked $1.4M in year 1 — across 8 stores in central Pennsylvania, billing CCM, MTM, and POCT through MedMe in their first 12 months on the platform.
Three levers move this estimate by 30% or more.
Documentation discipline
Time-tracked CCM in MedMe captures 40-60% more billable minutes than retroactive notes. The difference between 99490 ($65) and 99491 ($82) plus add-ons is documentation, not effort.
Incident-to billing posture
Pharmacies billing under a supervising physician through incident-to or general supervision rules typically capture 2-3× more services. RHTP and provider-status changes are widening this lever in 2026.
Denial management
Industry-average pharmacy clinical-service denial rates run 18-24%. MedMe customers bring that to under 6% by surfacing denials in real time and pre-flagging documentation gaps before submission.
See your real number on a 20-minute call.
Send us a week of your encounter volume. We'll back-of-envelope your annual reimbursement and walk through the codes that matter.