Our split billing software for 340b covered entities offers superior compliance that is configurable to meet your organizations unique needs. It is a comprehensive 340b technology platform that is powered by rulesbased compliance engines to assist covered entities in managing their contract pharmacy, mixed use split billing and home infusion needs. As the covid19 pandemic continues to sweep the nation, many 340b stakeholders are curious about the implications for their 340b programs and any flexibility in program requirements that may emerge. Key points to remember about splitbilling software.
Klas has been providing accurate, honest, and impartial insights for the healthcare it hit industry since 1996. Nov 20, 2017 generally, the primary areas of consideration when evaluating 340b software vendors are compliance, finance, and customer support. In addition to our 340b software solution, 340basics has a consulting and compliance division, assent consulting. 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. When i first understood this rule, i was flustered. Backed by our sophisticated qualification engine, our split billing and contract pharmacy solutions lead the industry in compliance while maximizing savings.
Most 340b hospitals dispense medications to both 340b eligible and ineligible patients. Effectively, this method identifies all of a ces op charge codes and uses them to identify drug. Todays blog is about managing 340b in mixeduse areas without using a split billing software. The health resources and services administration hrsa has recently created a covid19 resources page and is encouraging covered entities to reach out to the 340b. Psg offers a highly differentiated suite of solutions enabling you to expertly manage your 340b program. 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. Sentry data systems the healthcare intelligence company. The software then determines from which account each transaction should be reordered. Press releases simplified 340b management and compliance. We keep a sharp eye on the moving pieces of 340b program management so you dont have to. Userfriendly yet sophisticated, the 340b sm software helps approximately hospitals fulfill their mission to serve indigent patients while facilitating 340b tracking and management. Sentry data systems is a healthcare intelligence company, offering software applications to maintain 340b compliance, pharmacy management and contract pharmacy solutions.
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. Controlled substance ordering system csos compliance considerations. We know split billing is a big part of your program,we can help make sure its also a compliant part. Manual splitbilling solutions software splitbilling solutions rulesbased compliance engines what is split billing. Split billing software vendor selection and setup considerations. Our software solutions help you improve financial performance, maximize operational efficiency and maintain regulatory compliance. Pharmacy solutions pharmaceutical strategies group. The software must meet minimum requirements for 340b policy, such as preventing duplicate discounts and diversion. You will lose all gpo opportunity until you have the triple split figured out, but you will have met the gpo exclusion regarding the split billing software issue.
Even better, our software comes with our hightouch customer relationship approach. Pharmaforce is a refreshing approach to 340b program management. Properly calibrated 340b split billing software and supporting processes can be a critical asset to ces, but risk abounds for any ce that has not pursued a robust request for proposal rfp process and thoughtfully chosen a software solution and supporting vendor for optimal 340b compliance and program support. Verity 340b split billing manages qualified pharmaceutical usage and replenishment in 340b eligible healthcare organizations to optimizing returns on qualified transactions while maintaining compliance. The klas mission is to improve the worlds healthcare by amplifying the voice of providers and payers. Choosing a split billing vendor is not a decision to be taken lightly. If youre looking to maximize 340b drug pricing program participation, look to macro helix. Sentry data systems is a healthcare intelligence company, offering software applications to maintain 340b compliance, pharmacy management. Covered entities have the option to use split billing software to support their goal of establishing compliant 340b operations within their respective health care organizations. Splitbilling software acts as a tool for helping track 340b eligibility.
Our industryleading 340b program management technology supports hundreds of covered entities and contract pharmacies across the u. The tool can support both mixeduse and retail pharmacy environments. Manager, pharmacy 340b program in pittsburgh, pa upmc. Our team has experience with most splitbilling vendors, wholesalers and billing systems, and we understand the complexities of building and maintaining a 340b program.
Split billing is the process of separating the inpatient ip and op hospital charges from 340beligible areas. Choose a partner that understands your 340b reality. This software uses logic based on configurations, chosen by the entity, to virtually separate 340b from non 340b transactions after they occur. Our web interfaced, cloud implemented 340b split billing solution manager 340b sm allows qualified entities to implement the 340b program and meet the objectives. The term split billing is used to describe this software, which. This software uses filters and various settings, determined by each entity, to separate eligible 340b transactions from ineligible transactions. You can untangle operational, financial and regulatory knots using our pioneering software and services. Prohibition and 340b comprehensive pharmacy services. By choosing the right split billing solution, a covered entity can be reassured that the overall cost of pharmaceuticals it purchases is being optimized, 340b program integrity is being maintained and diversion prevented. Understanding key information technology concepts helps to. All software settings should mirror the 340b patient definition as defined within the covered entitys ces policies and procedures. Delivering a secure software solution that provides a compliant 340b eligibility and virtual inventory management system to eligible organizations. 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.
This software uses logic based on configurations, chosen by the entity, to virtually separate 340b from non340b transactions after they occur. Expanded flexibility for 340b stakeholders in the covid19. If you cant get this done in the 60 days, then at minimum add your nongpo account and place all orders on that and split bill to the 340b account. Contact us for more information, we have the solution you. 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.
The purpose of this tool is to list several key compliancerelated attributes to consider when evaluating, configuring, and maintaining split billing software background. A lot of new ces dont have any tpa or split billing software in place when they golive with 340b. Using splitbilling software to simplify 340b ordering w. All software settings should mirror the 340b patient definition as defined within the. Split billing verity solutions verity 340b solutions. We use 340b split billing software to manage the process of identifying eligible prescriptions. This creates a risk for 340b drug diversion since these prescriptions may originate from ineligible locations. Rxstrategies 340bplus split billing solution provides endtoend 340b program management with a focus on program compliance. Analyzs and oversee the utilization of technological solutions in place for 340b program facilitation e. How confident are you that your software is performing as designed. Effectively communicate strategy, goals, progress and results to executive management and other matrix partners.
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