All Systems Go for the New SCRIPT Standard
If you receive and transmit electronic prescriptions, you’re probably aware that they conform to a standard set by the National Council for Prescription Drug Programs (NCPDP).
Rules & Regulations
SC PMP – All LTC Pharmacies Must Report Controlled Substances
South Carolina DHEC now requires all long-term care (LTC) pharmacies to report dispensed controlled substances to the state’s Prescription Monitoring Program (SC PMP). The department wants compliance by the end of the month, and it is in the process of notifying pharmacies.
Michigan PMP – Effective Jan 4, Gabapentin a Schedule 5 Substance
Effective January 4, 2019, the Michigan Automated Prescription System (MAPS) for the reporting of controlled substances made gabapentin a Schedule V controlled substance. Pharmacies have 7 days to comply, which is Friday, January 11.
Tennessee PMP
Effective January 1, 2019, the Tennessee Prescription Monitoring Program (TN PMP) requires reporting of the Treatment Type and ICD-10 Diagnosis Code.
Minnesota Moves to Appriss PMP AWARxE
Effective December 4, 2018, the Minnesota Prescription Monitoring Program (MN PMP) moved controlled substance reporting to the Appriss® PMP Clearinghouse.
Preparing You for New Standards and Regulations
Once again, QS/1 is leading the way to help you make the transition from the current version of the National Council for Prescription Drug Programs (NCPDP) SCRIPT standard to the new one as smooth as possible. Pharmacies and prescribers that transmit electronic prescriptions have a little more than a year to convert to the new version. Currently, pharmacies and prescribers that wish to prescribe electronically must transmit those e-prescriptions using the SCRIPT Standard version 10.6. On January 1, 2020, transmissions must be made using the New SCRIPT Standard version 2017071.
Washington Policymakers Weigh Options to Lower Drug Costs
Policymakers in Washington, DC, are exploring reforms to lower drug costs that could mark the most significant changes in decades to how the federal government pays for drugs.
Sweeping Changes Proposed for Medicare Part D
Policymakers in Washington, DC, are exploring reforms to Medicare Part D that could mark the most significant changes to the popular program since its inception in 2006.
LTC Marketplace Update: Moving Forward
One of the burning questions fueling healthcare provider discussions is: What’s going to happen to the Affordable Care Act? The first answer was provided on March 24, 2017, when House Republican leaders pulled the proposed American Health Care Act legislation from a vote. However, on May 4, 2017, the House passed the American Health Care Act.
What Have We Learned about PBM Audits Recently?
Pharmacy Benefit Manager (PBM) audits continue to plague pharmacies. There are more desk audits than ever before and plans are finding new ways to recoup payment on prescriptions.
Compliance is Key in Medicare Part B Audits
Medicare is a beneficial program for Americans who are over age 65 or have certain disabilities, but providers sometimes find compliance issues a challenge. An understanding of mandates and how to properly submit claims will ensure organizations are reimbursed for Medicare Part B-covered medications, equipment and supplies, such as nebulizer-inhalation medications, oral immunosuppressive drugs and diabetic testing supplies. Occasionally, providers may unknowingly submit noncompliant or even fraudulent claims for the products and services they offer.
Think you’re safe without proper BA agreements?
When the Meaningful Use process started, practices started being more diligent in collecting Business Associate Agreements from all their contractors who had access to their software.