Navigation Links
New CSS program helps PartD sponsors meet CMS drug overutilization requirements

BUFFALO, N.Y., June 20, 2012 /PRNewswire/ -- Those working in Medicare programs have full schedules, filled with program submission rules, standardized formats, policy changes, data validation audits, on-site audits and more. Just when it seems there aren't enough hours in the day to get it all done, the Centers for Medicare & Medicaid Services (CMS) is adding even more oversight by getting tough on prescription overutilization by Medicare beneficiaries, and Clinical Support Services, Inc. (CSS) has a new program to help identify and track those most at risk.

CSS's new program helps Medicare plans offering prescription coverage to meet CMS's new requirements for retrospective drug utilization review by identifying "patterns which suggest that the identified patients may be at risk of overutilization. Part D sponsors should create and monitor Part D utilization reports to identify patterns of apparent duplicative drug use over sustained periods of time and/or across multiple drug products," according to the CY2013 Final Call Letter.

CSS's program reviews pharmacy claims and plan eligibility data monthly, then flags patients of concern by using predetermined selection criteria such as number of prescriptions filled in a 30-day period for frequently abused drug classes; number of physicians prescribing medication for that patient; and number of pharmacies filling prescriptions for that patient. Medicare plans receive a data report to determine the best course of action for that patient.

"Medicare plans have had even more responsibility thrust upon them," said James Notaro, RPh, Ph.D., CSS president. "This is a serious problem that needs serious consideration."

About CSS: Founded in 1999 by pharmacists and technologists, CSS is staffed by experienced clinicians, software developers and operations personnel who develop innovative and proprietary technology tools that improve patient care while providing financial value. At the heart of the business is Medication Pathfinder™ – built in a S-O-A-P (Subjective-Objective Assessment Plan) Note structure to help pharmacists move more quickly through complex patient Medication Therapy Management (MTM) assessment procedures. Structured data storage is one of the main differentiating features of the MTMPath system. Additional CSS software solutions include iDealTherapy™ and Star Ratings Booster™.

Cheryl Krajna
Clinical Support Services, Inc.
(716) 541-0273

Available Topic Expert(s): For information on the listed expert(s), click appropriate link.
James Notaro, RPh, Ph.D.

SOURCE Clinical Support Services, Inc.
Copyright©2012 PR Newswire.
All rights reserved

Related medicine technology :

1. Accuray Rolls Out Comprehensive Customer Service Program in Japan
2. Lilly Declares Third-Quarter 2012 Dividend, Resumes Share Repurchase Program
3. Effectiveness of Medicare Authorization Program for Power Wheelchairs Rests on Inclusion of a Clinical Template
4. Daniel Sontupe, SVP, Director of Market Access, at The CementBloc, to Present on Uncovering the Value in a Patient Support Program at CBI Summit
5. Delcath To Offer Second Generation Hemofiltration Cartridge In U.S. Expanded Access Program
6. Chinese Compulsory Immunization Program for Livestock Creates Massive Opportunity for Animal Vaccines and Biologics Developers
7. American Medical Systems and Allergan Sign Agreement for JetTouch™/BOTOX® Co-Development Program
8. The Galien Foundation Announces New "Best Medical Technology" Award Category for 2012 Prix Galien USA Awards Program
9. Pennsylvania DEP Announces X-ray Registration Fee Amnesty Program
10. Liberty Dialysis Celebrates Milestone 1,000th Patient in Peritoneal Dialysis Program
11. Rigel Advances Asthma Programs: Two Inhaled Drug Candidates Take Aim at Acute and Chronic Lung Disease
Post Your Comments:
(Date:6/24/2016)... Dehaier Medical Systems Ltd. (NASDAQ: DHRM ) ... medical devices and wearable sleep respiratory products in ... with Hongyuan Supply Chain Management Co., Ltd. (hereinafter referred ... to develop Dehaier,s new Internet medical technology business. ... Hongyuan Supply Chain,s sales platform to reach Dehaier,s dealers ...
(Date:6/24/2016)... , June 24, 2016 Research ... World Market for Companion Diagnostic Tests" report to their ... Market for Companion Diagnostics The World Market ... and personalized medicine diagnostics. Market analysis in the report includes ... Test Market (In Vitro Diagnostic Kits) by Region (N. America, ...
(Date:6/24/2016)... 2016   Pulmatrix, Inc ., (NASDAQ: ... drugs, announced today that it was added to the ... its comprehensive set of U.S. and global equity indexes ... important milestone for Pulmatrix," said Chief Executive Officer ... our progress in developing drugs for crucial unmet medical ...
Breaking Medicine Technology:
(Date:6/25/2016)... ... , ... As a lifelong Southern Californian, Dr. Omkar Marathe earned his Bachelors ... Geffen School of Medicine at UCLA. He trained in Internal Medicine at Scripps Green ... hematology/oncology at the UCLA-Olive View-Cedars Sinai program where he had the opportunity to train ...
(Date:6/25/2016)... ... June 25, 2016 , ... Conventional wisdom preaches the ... In terms of the latter, setting the bar too high can result in disappointment, ... just slow progress toward their goal. , Research from reveals ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is ... associated with chronic pain and the benefits of holistic treatments, Serenity Recovery Center ... suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a disorder of ...
(Date:6/24/2016)... MIAMI, Fla. (PRWEB) , ... June 24, 2016 , ... ... Florida Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this ... of Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this ...
(Date:6/24/2016)... NY (PRWEB) , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin ... companies that call for a minimum wage raise to $12 an hour by 2020 and ... This will restore the lost value of the minimum wage, assure the wage floor does ...
Breaking Medicine News(10 mins):