This software uses logic based on configurations, chosen by the entity, to virtually separate 340b from non340b transactions after they occur. Especially for any type of entity outside of dsh, childrens. 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. Nov 20, 2017 software vendors also maintain support staff to troubleshoot problems and operational issues. Prohibition and 340b comprehensive pharmacy services. 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. Our industryleading 340b program management technology supports hundreds of covered entities and contract pharmacies across the u. 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. Our software solutions help you improve financial performance, maximize operational efficiency and maintain regulatory compliance.
Find 340b tools such as templates for policies and procedures, registration, audit and compliance plans, and additional resources to ensure 340b program integrity. Todays blog is about managing 340b in mixeduse areas without using a split billing software. Our splitbilling software for 340b covered entities offers superior compliance that is. Our contractrx software helps covered entities and contracted. Being aware of the complex and everchanging 340b drug pricing program. Effectively communicate strategy, goals, progress and results to executive management and other matrix partners. Using splitbilling software to simplify 340b ordering w. Split billing optimizing savings on qualified transactions while maintaining compliance. Split billing contract pharmacy hospitals community health centers contract pharmacy our contractrx software helps covered entities and contracted pharmacies make the. For this reason, its prudent to have your split billing software ready to go at the same time your 340b registration is published.
Learn why the advanced 340b operations certificate program is the 340b industry standard. Split billing verity solutions verity 340b solutions. This is most often done through some vendor that can provide tracking and auditable records. Our 340b architect software simplifies the complexities of managing a 340b so you can focus on the health of your patients and your organization.
Sunrxs split billing solution virtually separates 340b, non 340b, 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. Rxstrategies 340bplus split billing solution provides endtoend 340b program management with a focus on program compliance. 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. Splitbilling solutions allow the covered entity to separate 340b eligible. You can untangle operational, financial and regulatory knots using our pioneering software and services. Pharmaforce 340b third party administration solutions.
Split billing software vendor selection and setup considerations. Bkds 340b team has the expertise to provide operational knowledge and recommendations that help covered entities increase savings and maintain compliance. 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. We know split billing is a big part of your program,we can help make sure its also a compliant part. This software can help the entity place orders in appropriate accounts, which should support 340b compliance while still having only one physical inventory.
We are the leading advocate and resource for those hospitals who serve their communities through participation in 340b. The tool can support both mixeduse and retail pharmacy environments. Developed alongside pharmacists and pharmacy techs, the 340b optimizer is a web base total 340b solution for any setting. The prime vendor has developed a number of tools to help covered entities operationalize 340b program compliance guidelines. 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. If youre looking to maximize 340b drug pricing program participation, look to macro helix. Pharmaforce is a refreshing approach to 340b program management. Sentry data systems is a healthcare intelligence company, offering software applications to maintain 340b compliance, pharmacy management. When i first understood this rule, i was flustered. The term split billing is used to describe this software, which. 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.
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 offers robust reporting for 340b and non 340b accounts. Analyzs and oversee the utilization of technological solutions in place for 340b program facilitation e. The entity is ultimately responsible for program compliance. Splitbilling decision checklist 340bpvp document repository. Additionally, we ensure 340b contract pricing is honored, and offer a comprehensive medicaid validation process. Whether launching a new 340b program see sidebar or switching to different split billing software, the vendor selection process should be multidisciplinary. We keep a sharp eye on the moving pieces of 340b program management so you dont have to. The software then determines from which account each transaction should be reordered. Splitbilling software acts as a tool for helping track 340b eligibility. Sentry data systems the healthcare intelligence company. A lot of new ces dont have any tpa or split billing software in place when they golive with 340b. Psgs 340b splitbilling solution will get you there.
Sentry data systems is a healthcare intelligence company, offering software applications to maintain 340b compliance, pharmacy management and contract pharmacy solutions. Our web interfaced, cloud implemented 340b split billing solution manager 340b sm allows qualified entities to implement the 340b program and meet the objectives. Apexus advanced 340b operations certificate program brochure. 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. Splitbilling software separates a purchase order into different accounts using logic based on configurations chosen by the ce to divide qualifying transactions.
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. 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. Effectively, this method identifies all of a ces op charge codes and uses them to identify drug. 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. 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. Due to the complexity of their operations, the majority of the hospitals rely on split billing software to manage their drug inventory.
All software settings should mirror the 340b patient definition as defined within the covered entitys ces policies and procedures. We use 340b split billing software to manage the process of identifying eligible prescriptions. 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. Manager, pharmacy 340b program in pittsburgh, pa upmc. Split billing contract pharmacy hospitals community health centers. The term split billing is used to describe this software, which splits a purchase order into two or three different accounts. Get more information and technical assistance via the 340b prime vendor 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. Verity 340b split billing manages qualified pharmaceutical usage and replenishment in 340b eligible healthcare organizations to optimizing returns on qualified transactions while maintaining compliance. Choosing a split billing vendor is not a decision to be taken lightly. 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. How confident are you that your software is performing as designed. 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.
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. Delivering a secure software solution that provides a compliant 340b eligibility and virtual inventory management system to eligible organizations. Choose a partner that understands your 340b reality. 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. The tool can support both mixed use and retail pharmacy environments. Split billing is the process of separating the inpatient ip and op hospital charges from 340beligible areas. It is possible to manage a 340b mixeduse program without split billing software. Manual splitbilling solutions software splitbilling solutions rulesbased compliance engines what is split billing. The following are key points to remember about splitbilling software. But program participation comes with complex regulatory and audit requirements that must be managed carefully to maintain compliance.