Custom-Built Applications Process 16 Million Claims Monthly for 9 Million
NASHVILLE, Tenn., June 16 /PRNewswire/ -- Emdeon Business Services, a leading provider of revenue cycle management and clinical communication solutions, announced today that the company has processed its one billionth pharmacy claim for the U.S. Department of Defense (DoD) through the Pharmacy Data Transaction Service (PDTS). Emdeon has been providing services to the DoD as a subcontractor to CSC (NYSE: CSC), the DoD's primary contractor, since 1999.
PDTS, created by Emdeon exclusively for the DoD, is a centralized data repository of drug claims information that has substantially benefited the Military Health System's pharmacy services. PDTS is scalable, robust and secure and is an example of Emdeon's ability to develop solutions for major healthcare organizations. Emdeon's milestone of one billion processed claims comes after nearly a decade of providing quality service and expertise to the DoD. PDTS has achieved Defense Information Technology Security Certification and Accreditation (DITSCAP), and has been awarded the Air Force Certificate of Networthiness.
"One billion claims processed is proof that Emdeon's PDTS is one of the Department of Defense's most successful custom-built systems," said Raymond E. Henry, president of CSC's North American Public Sector Government Health Services division. "This service has now proven itself many times over to be a vital tool for the Military Health System -- allowing the DoD to minimize cost, prevent fraud and monitor patient usage and provider prescribing patterns."
The innovation and quality offered by PDTS are best demonstrated by the two major recognitions it has achieved. PDTS was one of only seven finalists in the 2002 President's Quality Award Program for which 100 federal government programs competed. It was also selected by Harvard University's John F. Kennedy School of Government as a semifinalist for the prestigious 2002 Innovations in American Government Award.
PDTS processes an average of 15.4 million pharmacy transactions monthly for the 9.3 million beneficiaries of TRICARE, the U.S. military health plan. With real-time, electronic functionality, PDTS conducts prospective drug utilization reviews on new and refill prescriptions -- to help ensure patient safety and proper usage. Additionally, PDTS provides online verification of eligibility, drug coverage, quantity limits, co-pay levels, deductible/maximum benefit balances as well as facilitates pharmacy reimbursement.
To date, the PDTS System has proactively identified over 268,700 Level 1 drug-drug interactions, thereby enhancing patient safety and providing industry leading pharmaceutical care for the TRICARE beneficiaries. Rear Admiral Thomas McGinnis, Chief, TRICARE Management Activity, Pharmaceutical Operations Directorate, stated: "It is comforting to know that, whether our beneficiaries choose to receive their medications from a military facility, mail-order or civilian retail pharmacy, we have provided an accurate medication history to keep them safe."
"One billion claims processed for the DoD provides testimony of Emdeon's ability to create healthcare technology solutions that help our clients provide higher quality medical care at a reduced cost," states Emdeon Senior Vice President, John Long. "We have also developed technology to support coordination of benefits, Medicare Part D and NPI and we will continue to enhance our systems to support the goals of the DoD."
About Emdeon Business Services
Emdeon Business Services is a leading provider of revenue cycle management and clinical communication solutions that enables payers, providers and patients to improve healthcare business processes. Our solutions are designed to simplify the business and improve the delivery of healthcare for providers, payers and patients. Emdeon Business Services is owned by General Atlantic LLC and Hellman & Friedman LLC. For more information, visit http://www.emdeon.com.
CSC is a leading information technology (IT) services company. CSC's mission is to be a global leader in providing technology-enabled business solutions and services. With approximately 90,000 employees, CSC provides innovative solutions for customers around the world by applying leading technologies and CSC's own advanced capabilities. These include systems design and integration; IT and business process outsourcing; applications software development; Web and application hosting; and management consulting. Headquartered in Falls Church, Va., CSC reported revenue of $16.5 billion for the 12 months ended March 28, 2008. For more information, visit http://www.csc.com.
|SOURCE Emdeon Business Services|
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