Navigation Links
New CSS program helps PartD sponsors meet CMS drug overutilization requirements
Date:6/20/2012

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    
www.csshealth.com

Available Topic Expert(s): For information on the listed expert(s), click appropriate link.
James Notaro, RPh, Ph.D.
https://profnet.prnewswire.com/Subscriber/ExpertProfile.aspx?ei=62774


'/>"/>
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:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... LAS VEGAS , June 26, 2016 ... movement to value-based care operating models within the health ... that enable greater financial efficiency , Deloitte offers ... address the key business issues impacting efficient cost optimization: ... alignment , These services facilitate better outcomes and ...
(Date:6/24/2016)... June 24, 2016 ... announced the addition of the " Global Markets ... This report focuses ... an updated review, including its applications in various applications. ... market, which includes three main industries: pharmaceutical and biotechnology, ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... "The World Market for Companion Diagnostic Tests" report to ... World Market for Companion Diagnostics The World ... diagnostic and personalized medicine diagnostics. Market analysis in the report ... Diagnostics Test Market (In Vitro Diagnostic Kits) by Region (N. ...
Breaking Medicine Technology:
(Date:6/25/2016)... Montreal, Canada (PRWEB) , ... June 25, 2016 , ... ... the pursuit of success. In terms of the latter, setting the bar too high ... low, risk more than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. Her ... would lash out at his family verbally and physically. , “When something upset him, he ... he would use it. He would throw rocks at my other children and say he ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, ... and the Road To Recovery® program to drive cancer patients to and from their ... to ensure the highest quality of life and ongoing independence. Getting to and ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute Beauty ... Barry M. Weintraub as a prominent plastic surgeon and the network’s newest partner. ... and the most handsome men, look naturally attractive. Plastic surgery should be invisible.” ...
(Date:6/24/2016)... ... June 24, 2016 , ... Venture Construction Group (VCG) ... held on June 20th at the Woodmont Country Club at 1201 Rockville Pike, ... organization dedicated to helping service members that have been wounded in battle and their ...
Breaking Medicine News(10 mins):