Additionally, we ensure 340b contract pricing is honored, and offer a comprehensive medicaid validation process. How confident are you that your software is performing as designed. Split billing contract pharmacy hospitals community health centers contract pharmacy our contractrx software helps covered entities and contracted pharmacies make the. In addition to our 340b software solution, 340basics has a consulting and compliance division, assent consulting. It is possible to manage a 340b mixeduse program without split billing software. We keep a sharp eye on the moving pieces of 340b program management so you dont have to.
Consider the value of being the expert on your team who can implement a compliant program that aligns with the mission of your institution and the intent of the 340b program. The following are key points to remember about splitbilling software. Our 340b architect software simplifies the complexities of managing a 340b so you can focus on the health of your patients and your organization. The tool can support both mixed use and retail pharmacy environments. Delivering a secure software solution that provides a compliant 340b eligibility and virtual inventory management system to eligible organizations. Sentry data systems is a healthcare intelligence company, offering software applications to maintain 340b compliance, pharmacy management. 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. Outlines the gpo prohibition as it applies to purchasing of medications for hospital mixeduse settings, including the use of wac, gpo, and 340b accounts using a replenishment model to ensure that no purchases of outpatient covered drugs are made through a gpo account. Rxstrategies 340bplus split billing solution provides endtoend 340b program management with a focus on program compliance. Split billing verity solutions verity 340b solutions.
Effectively communicate strategy, goals, progress and results to executive management and other matrix partners. All software settings should mirror the 340b patient definition as defined within the covered entitys ces policies and procedures. Todays blog is about managing 340b in mixeduse areas without using a split billing software. Split billing contract pharmacy hospitals community health centers. If you are still learning about the program, the reason for this response is due to the fact many dshpedcan hospitals are using the split billing process where you replenish with 340b drug. Choosing a split billing vendor is not a decision to be taken lightly. We are the leading advocate and resource for those hospitals who serve their communities through participation in 340b. Splitbilling decision checklist 340bpvp document repository. Bkds 340b team has the expertise to provide operational knowledge and recommendations that help covered entities increase savings and maintain compliance. Our software solutions help you improve financial performance, maximize operational efficiency and maintain regulatory compliance. Verity 340b split billing manages qualified pharmaceutical usage and replenishment in 340b eligible healthcare organizations to optimizing returns on qualified transactions while maintaining compliance. Using splitbilling software to simplify 340b ordering w. We know split billing is a big part of your program,we can help make sure its also a compliant part.
Pharmaforce 340b third party administration solutions. The entity itself is subject to hrsa and manufacturer audits, so it is critical for the entity to take time to carefully select, configure, maintain, and check its split billing software. Our contractrx software helps covered entities and contracted. The term split billing is used to describe this software, which. Effectively, this method identifies all of a ces op charge codes and uses them to identify drug. The 340b program helps entities to make better use of scarce resources, but at the same time imposes regulatory requirements on those entities which make participation more complex. Split billing software vendor selection and setup considerations. This software can help the entity place orders in appropriate accounts, which should support 340b compliance while still having only one physical inventory. Split billing offers robust reporting for 340b and non 340b accounts. Especially for any type of entity outside of dsh, childrens. Choose a partner that understands your 340b reality. Pharmaforce is a refreshing approach to 340b program management. The entity is ultimately responsible for program compliance.
If youre looking to maximize 340b drug pricing program participation, look to macro helix. A lot of new ces dont have any tpa or split billing software in place when they golive with 340b. Nov 20, 2017 software vendors also maintain support staff to troubleshoot problems and operational issues. Splitbilling software acts as a tool for helping track 340b eligibility. Apexus advanced 340b operations certificate program brochure.
Our splitbilling software for 340b covered entities offers superior compliance that is. Although it is the ces responsibility to use the software to meet program requirements established in policies and procedures, ces rely on vendors for proper implementation, initial education, and user training. 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. The 340b prime vendor will continue to support the distribution of covered outpatient drugs through the 340b drug pricing program and as a resource to 340b stakeholders. Splitbilling software separates a purchase order into different accounts using logic based on configurations chosen by the ce to divide qualifying transactions. Although it is risky to manage 340b in a dsh, can or ped entities without benefit of a split billing software, there are those who need the savings to fund programs, and so they are willing to take the extra steps and risk involved in managing this complex program. Dec 31, 2016 as part of ensuring 340b program compliance, huron encourages that all manufacturers, currently in a ppa, consult with trusted advisors to determine appropriate action. For this reason, its prudent to have your split billing software ready to go at the same time your 340b registration is published. The tool can support both mixeduse and retail pharmacy environments. Manager, pharmacy 340b program in pittsburgh, pa upmc. The software then determines from which account each transaction should be reordered. This software uses logic based on configurations, chosen by the entity, to virtually separate 340b from non340b transactions after they occur. Splitbilling solutions allow the covered entity to separate 340b eligible. 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.
This is most often done through some vendor that can provide tracking and auditable records. 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. We use 340b split billing software to manage the process of identifying eligible prescriptions. The prime vendor has developed a number of tools to help covered entities operationalize 340b program compliance guidelines. Being aware of the complex and everchanging 340b drug pricing program. 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. You can untangle operational, financial and regulatory knots using our pioneering software and services. Sentry data systems the healthcare intelligence company. Psgs 340b splitbilling solution will get you there.
Our web interfaced, cloud implemented 340b split billing solution manager 340b sm allows qualified entities to implement the 340b program and meet the objectives. 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. Analyzs and oversee the utilization of technological solutions in place for 340b program facilitation e. Set up perpetual inventory replenishment and split billing to optimize inventory management maintain 340b program compliance with our complete audit preparation and support service create standard and userdefined reports to demonstrate the impact of your 340b program let us help you get the most out of your 340b architect solution. 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. Split billing optimizing savings on qualified transactions while maintaining compliance. But program participation comes with complex regulatory and audit requirements that must be managed carefully to maintain compliance. Prohibition and 340b comprehensive pharmacy services. Whether launching a new 340b program see sidebar or switching to different split billing software, the vendor selection process should be multidisciplinary. Split billing is the process of separating the inpatient ip and op hospital charges from 340beligible areas. When i first understood this rule, i was flustered. Find 340b tools such as templates for policies and procedures, registration, audit and compliance plans, and additional resources to ensure 340b program integrity. Get more information and technical assistance via the 340b prime vendor program. Our industryleading 340b program management technology supports hundreds of covered entities and contract pharmacies across the u.
If choosing to sign the addendum, navigate to the following link, complete and submit the requested addendum form and stay patient for additional guidance from hrsa. Sentry data systems is a healthcare intelligence company, offering software applications to maintain 340b compliance, pharmacy management and contract pharmacy solutions. Learn why the advanced 340b operations certificate program is the 340b industry standard. The term split billing is used to describe this software, which splits a purchase order into two or three different accounts.