As your voice in washington, we encourage you to join our advocacy efforts to protect 340b, which includes creating an impact profile document illustrating how your savings support your safetynet mission. The software then determines from which account each transaction should be reordered. She hit on another key topic that is related to splitbilling software maintenance. The term split billing is used to describe this software, which. Ppt comparing apples to apples split billing software. Rob nahoopii, pharmd, ms, 340b ace turnkey pharmacy. Helps you to build and maintain a solid 340b network. Todays blog is about managing 340b in mixeduse areas without using a. Note that if the 340bsplit billing software is configured to identify a provider as always eligible, all orders and prescriptions from that provider will be identified as 340beligible regardless of the location. The only hrsaaligned 340b training continuously refreshed to reflect the latest hrsa guidance ensures consistency with hrsas interpretation of 340b policy program integrity and compliance for all. Sunrxs splitbilling solution virtually separates 340b, non340b, and gpo purchasing transactions in mixeduse settings to help ensure patient eligibility compliance, thereby allowing hospitals to manage only one physical inventory for all drugs dispensed within the hospital. Comparing 340b university and the 340b coalition conference. Southwest consulting associates will be participating in the 33 rd annual conference of the texas association of community health centers tachc this month and we have been looking back over 340b compliance audits that we have performed for chcs this year to be able to provide some insight on common findings.
Verity solutions is an awardwinning provider of 340b software and services. This software uses logic based on configurations, chosen by the entity, to virtually separate 340b from non340b transactions after they occur. View jillian andersons profile on linkedin, the worlds largest professional community. We polled the formal members of the curmudgeon coalition early today with this question. In this model, pharmacies fill prescriptions from their existing stock and manage their inventory like usual. Project lead for training of all pharmacy buyers on utilization of split billing software and. Verity solutions is both a pioneer and a leader in 340b split billing software solutions our robust featureset is flexible to meet and exceed the complex demands of our customers.
The tool can support both mixeduse and retail pharmacy environments. Split billing is the process of separating the inpatient ip and op hospital charges from 340beligible areas. The most common 340b management model is a virtual replacement model. Verity solutions 340b program administration and compliance. Using splitbilling software to simplify 340b ordering. Split billing software and contract pharmacy youtube. If you would like to be notified of future conferences on the 340b program. The 340b optimizer platform is a webbased fully integrated 340b solution for both in house splitbill and contract pharmacy. Provides fully customizable, endtoend 340b program management with a focus on program compliance. We encourage all 340b hospitals to consider joining our association and look forward to working with our members in 2019 to protect this vital, lifesaving program. Rxinsider we provide support in addressing your 340b. This creates a risk for 340b drug diversion since these.
But before i get into the meat of the article, so to speak, i must honor the curmudgeon coalition and apologize for not including sufficient levels. Ce should begin negotiating contracts with splitbilling software systems. This includes distributor order and contract compliance tools, a virtual inventory module and formulary management tools. Split billing verity solutions verity 340b solutions.
We hope to see you at the 340b coalition winter conference, february 1012 in. The purpose of this tool is to provide a decision checklist for entities to evaluate splitbilling software. The 340b summer coalition was held earlier this month in washington d. The 340b compliance program requires compliant claiming of all 340b drug billing for drugs dispensed to phc members at contract and inhouse pharmacies or as physicianadministered drugs pads. Psg 340b link is a comprehensive 340b solution with a proven record of. Manual splitbilling solutions software splitbilling solutions rulesbased compliance engines what is split billing. Split billing contract pharmacy hospitals community health centers contract pharmacy our contractrx software helps covered entities and contracted pharmacies make the most of the 340b program. Julie zadecky, a pharmacist in the program performance and quality branch for the office of pharmacy affairs was asked two questions regarding the opas requirement for a 340b independent audit during her presentation on july 12, 2016. Learn what the terminology used within the 340b program means. You will hear almost zero discussion of legislative developments. This audit style is best suited to an onsite visit, but can be completed remotely as well. Especially for any type of entity outside of dsh, childrens hospitals, and free standing cancer centers. Explore the future of drug pricing, discuss strategies to maintain compliance, and evaluate the financial risks and opportunities of the program. The 16th annual 340b coalition winter conference will be held at.
Neither gary merchant nor robert theriault have no actual or potential conflicts of interest in relation to this presentation. Comparing 340b university and the 340b coalition conference to. Covered entities applying this system often purchase splitbilling software to help track. A paradigm shift in 340b how to protect and grow the. The 340b drug discount program kara stencel manufacturers are required to provide outpatient drugs at a discount to certain health centers, hospitals, and clinics. We intended to get a few more blog articles out before now, but work got in the way i hate it when that happens. In particular, our firm has the skills and experience to help address the numerous operational, financial, and compliance aspects of the 340b program. Poms paperless browser enabled medication and lab order management system.
Participation in the 340b drug pricing program has more than doubled that. We are a broad coalition of providers and programs in support of the 340b program, a resource critical for the survival of americas safety net. The apexus advanced 340b operations certificate program has released a new module enabling learners to stay current on the latest 340b program trends and hot topics. Our software solutions help you improve financial performance, maximize operational efficiency and maintain regulatory compliance. The 340b coalition conference is put on by 340b health. Chris hatwig, ms, fashp of apexus discusses how split billing software helps to keep contract pharmacies organized with respect to 340b requirements. Advanced 340b operations certificate program apexus. Our splitbilling software for 340b covered entities offers superior compliance that is configurable to meet your organizations unique needs. Insights and news comprehensive pharmacy services 340b.
The presentations are educational in nature and not a. Cynthia also added a 340b analyst, and stated this should be a no brainer. Leading companies providing 340b software, management, forms, pricing. All activity is then designated for proper replenishment, gpo, wac, 340b auditability and reporting. This audit is designed to delve into every process, including split billing software setup, to identify both compliance issues and lost opportunities. All features necessary reside on one web based platform. The 340b specialist will play a critical role for our client organizations, providing 340b drug pricing program technical and analytical support, functioning as a liaison and analyst, and ensuring appropriate utilization and compliance with 340b program requirements. The software automatically determines which prescriptions are 340b qualified, freeing. Apexusadvanced340bcertificateprogramcurriculumflyer051717 file format. Verity solutions has installed its auditready, fully compliant 340b solutions in hundreds of facilities. Our experts understand the multiple challenges 340bparticipating hospitals must address, such as gpo prohibition, orphan drug restrictions, medicaid duplicate discountmedicaid billing, patient definition, 340 registration and recertification process, split billing software and maintenance, as. It is possible to manage a 340b mixeduse program without split billing software. Todays blog is about managing 340b in mixeduse areas without using a split billing software. Four key takeaways from the 340b coalition annual winter.
Using splitbilling software to simplify 340b ordering w. An analysis of 340b solutions part i overview this white paper is the first of a threepart series that covers 340b software solutions for hospitals and contract pharmacies from a variety of perspectives. We are also offering a recertification exam, based on the content of the new module, so 340b apexus certified experts aces due to recertify can maintain their 340b expert status. Eligibility to join our individual membership program which is designed to meet the.
Verity solutions is located in kirkland, wa with employees stationed all across the nation to best serve our widespread customer base. Wow, i cannot believe it is conference time already. To understand the 340b drug pricing program 340b program, one must begin in 1990 when congress created the medicaid rebate program to lower the cost of pharmaceuticals reimbursed by state medicaid agencies. But before i get into the meat of the article, so to speak, i must honor the curmudgeon coalition and apologize for not including sufficient levels of corny irony or humor in the last blog. Paperless medication order management system for pharmacies nursing communciation workflow. Founded in 2002 verity solutions provides 340b software and services to all 340b covered entity types and pharmacies. The 340b prime vendor, apexus, puts on this educational program. Overview of the 340b drug pricing program background.
In 2015, hrsa added some basic 340b compliance questions to the. We use 340b split billing software to manage the process of identifying eligible prescriptions. Covered entities use 340b vendors to support 340b compliance operations in. Built on psgs marketleading qualification engine, order link is an easy to use webbased ordering and inventory management tool that drives productivity and optimizes 340b program value. That is because dsh, ped and can are subject to the gpo prohibition and mandatory wac use, and that adds a challenging layer of complexity. If you are new to the program, do not underestimate the time and resource it will take to maintain a split billing software system. Our industryleading 340b program management technology supports hundreds of covered entities and contract pharmacies across the u. A paradigm shift in 340b how to protect and grow the program. Assist with 340b registration and recertifications. The tool can support both mixed use and retail pharmacy environments.
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