Navigation Links
TRICAST Debuts Part D Rejection Oversight Solution for Drug Plan Sponsors
Date:8/13/2012

MILWAUKEE, Aug. 13, 2012 /PRNewswire/ -- Recent civil money penalties levied by the Centers for Medicare & Medicaid Services (CMS) against a major Prescription Drug Plan (PDP) sponsor have hammered home the fact that CMS is not taking rejection analysis lightly. To help Medicare Advantage and stand-alone PDP sponsors respond to this new vigilance, TRICAST is offering a sound PBM oversight solution.

Primary Rejection Analytics

Rejection analysis and reporting is a crucial component of TRICAST's PBM oversight process. TRICAST reviews rejected Medicare Part D prescription transactions to ensure that plan management is aligned with appropriate plan design adherence. Their trained staff analyzes rejected prescription transactions to ensure that the six protected classes (Antidepressants, Antipsychotics, Anticonvulsants, Antiretroviral, Immunosuppressants, Anticancer) are not affected. TRICAST also analyzes and reports on rejected claims during a plan enrollee's transition period.

After a rejection analysis, TRICAST is able to determine if the majority of drugs were -- or were not -- covered. They also load and display all secondary messaging sent to the pharmacy provider to further support the oversight process.

TRICAST provides their analysis in reports that contain pivot tables, analyzing the type of reject by pharmacy and its timeframe. These pivot tables not only provide a breakdown of reason codes and a summary of the count of rejects, they also allow for actionable results, review, and resolution.

Complete Transition Patient Analysis

TRICAST loads all relevant eligibility to provide a complete third-party Transition Patient analysis. Inclusion of Transaction Reply Reports (TRR), Monthly Membership Reports (MMR) and Medicare Advantage and Prescription Drug (MARx) files the system portrays any patient experiencing a change in plan design, group or enrollment as "Transition." These patients will then have a separat
'/>"/>

SOURCE TRICAST, Inc.
Copyright©2012 PR Newswire.
All rights reserved

Page: 1 2 3

Related medicine technology :

1. BioSurplus Expands, Debuts New 8000 Square Foot Warehouse and Service Facility
2. Guangzhous Sun Yat-sen University Cancer Center Debuts MOSAIQ in the Chinese Platform
3. Viztek Debuts Upgraded Opal-Ortho Appliance; Offers Small "One Box" Footprint for Private Practices Combining CR/DR and PACS
4. Thomson Reuters Launches New Mobile Oncology Decision Support Solution for R&D Pharmaceutical Leaders
5. SolutionStart Corp. Announces John Karagiannis as Vice President of Technology
6. Stereotaxis Epoch™ Solutions Momentum Drives Strong Presence at the Heart Rhythm Society (HRS) Annual Meeting
7. Brainybrawn, Inc. announces Launch of its Web based Medical College Information Management Solution (Sanvi MCIMS), as well as Receipt of Order for Its Comprehensive Restaurant Information Management Solution for Managing Chain of Restaurants (Sanvi
8. Cardinal Health Brings Resolution to Litigation with DEA Settlement
9. Valeritas Inc. Selects dLifes New Diabetes Patient Engagement Solution For Valeritas V-go Disposable Insulin Delivery Device
10. Endo Announces Resolution of Patent Litigation with Watson Pharmaceuticals Related to Lidoderm®
11. Cardinal Health Specialty Solutions Launches PathWare™ Decision Support Transaction Solutions
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/3/2015)... HUATULCO, Mexico , July 3, 2015 ... targeting the epidemics of hypertension, diabetes and thyroid disorders ... online educational platforms and a major conference dedicated to ... Manage Diabetes Online , Manage Hypertension ... each developed and operated by EXCEMED - ...
(Date:7/2/2015)... Chine, 3 juillet 2015 BGI a annoncé ... débit de l,ADN situé à Hong ... l,American College of Pathologists  (Collège des pathologistes américains, ... Hong Kong constituent le premier ... recevoir la certification du CAP en Chine, car ...
(Date:7/2/2015)... LAUDERDALE, Fla. , July 2, 2015 /PRNewswire/ ... Co., is pleased to announce that its Consumer ... ("Insight Beverages") to Kerry Group plc (ISE: KRZ) ... on taste and nutrition systems, as well as ... beverage and pharmaceutical markets. Farlie Turner served as ...
Breaking Medicine Technology:Combating Three Major Chronic Diseases in Latin America With Medical Education 2BGI obtient la certification du Collège des pathologistes américains (CAP) 2Farlie Turner's Consumer Group Completes Sale of Insight Beverages to Kerry 2
... time when Australian,scientists are fighting hard to keep pace ... leading the world,in the production of human proteins for ... the company's human proteins are,unique in the way they ... as heart, nerve and muscle cells. , "Stem cells ...
... Committee Chairman Howard Dean issued the following,statement today ... science by vetoing the Stem Cell Research Enhancement ... for life-saving,embryonic stem cell research, has the overwhelming ... House and Senate with,bipartisan support. A recent USA ...
Cached Medicine Technology:Apollo's human proteins boost stem cell research 2Dean: President Bush Has Turned His Back on the American People 2
(Date:7/3/2015)... Red Deer, Alberta (PRWEB) , ... July 03, 2015 , ... ... Camp host their 24-Hour Train-a-Thon where they provide members of the Red Deer community ... This year’s full day of fitness training, games, food, events and entertainment raised thousands ...
(Date:7/2/2015)... Richmond, VA (PRWEB) , ... July 02, 2015 , ... ... Canton, Texas. The opening is now the 19th sweetFrog store located in the Lone ... 500 list of fastest growing companies in 2014. , The store, which opened July ...
(Date:7/2/2015)... , ... July 02, 2015 , ... Many Fourth of ... mind. That’s why Amica Insurance is sharing some tips to promote the ... approximately 230 people go to the emergency room daily with fireworks-related injuries in the ...
(Date:7/2/2015)... ... July 02, 2015 , ... As Americans celebrate the ... hot temps, skin cancer is on the rise. July is UV Safety Month, and ... awareness about the importance of getting skin checks. Experts say most skin cancers can ...
(Date:7/2/2015)... ... , ... The ZAC Foundation, a national leader in water safety education and ... to stay water safe with the help of a young polar bear named Zeke. ... co-founders, follows Zeke’s water safety journey. Zeke, who is afraid of the water ...
Breaking Medicine News(10 mins):Health News:Red Deer Fitness Studio Raises $10,000 for Charity Organization with 24-Hour Train-a-Thon 2Health News:Red Deer Fitness Studio Raises $10,000 for Charity Organization with 24-Hour Train-a-Thon 3Health News:sweetFrog Expands Texas Footprint with Location in Canton 2Health News:6 Fireworks Safety Tips from Amica Insurance 2Health News:Local Physicians Warn of Holiday Health Hazards 2Health News:Local Physicians Warn of Holiday Health Hazards 3Health News:Local Physicians Warn of Holiday Health Hazards 4Health News:The ZAC Foundation Kicks Off Summer and July 4th Weekend with Complimentary Children’s E-Book on Water Safety 2Health News:The ZAC Foundation Kicks Off Summer and July 4th Weekend with Complimentary Children’s E-Book on Water Safety 3
... , GUANGZHOU, China, ... Bulletin Board: CHME) ("China Medicine" or "the ... and over-the-counter pharmaceuticals,traditional Chinese medicines ("TCM"), nutritional ... the People,s Republic of China,("PRC"), announced today ...
... ... operations and the bottom line, Perspectives Ltd, a high-touch provider of workplace resources, is partnering ... , ... More than 8% of full-time employees in the U.S. were drug users and nearly 9% ...
... ... and product support to data and voice contractors since 1984 announces new rewards program. ... (PRWEB) October 20, 2009 -- ... optic connectivity for commercial and residential installations, announces a new website feature: The Elite Installer ...
... shows uninsured American adults with chronic illnesses like diabetes ... to an increased risk of costly, disabling and even ... online today [Tuesday] in Health Affairs , analyzed ... Centers for Disease Control and Prevention (CDC). The researchers, ...
... ... education credits. , ... Lincoln, NE (Vocus) October 19, 2009 -- The online Advanced Cardiac Life Support ... approval from the American Academy of Physician Assistants (AAPA). The approval allows health care ...
... Faces don,t lie when it comes to showing signs of aging. ... aging face. Studies have demonstrated that volume loss of soft ... The loss of volume in the face over time can ... jowls. With the recent FDA approval of Scrulptra® Aesthetic, physicians ...
Cached Medicine News:Health News:China Medicine Corporation's Levocarnitine Dried Powder Injection Was Registered with the Ministry of Health of Pakistan 2Health News:China Medicine Corporation's Levocarnitine Dried Powder Injection Was Registered with the Ministry of Health of Pakistan 3Health News:Perspectives Ltd and Chicagoland Chamber of Commerce Partner to Promote Drug-Free Workplaces. EAP Provider Offers Workshops to Help Businesses Understand Employee Substance Abuse and Its Impact 2Health News:Perspectives Ltd and Chicagoland Chamber of Commerce Partner to Promote Drug-Free Workplaces. EAP Provider Offers Workshops to Help Businesses Understand Employee Substance Abuse and Its Impact 3Health News:Structured Cabling Solutions Provider ICC Announces Rewards Program for Installers and Contractors 2Health News:Illness often undiscovered and undertreated among the uninsured: Harvard study 2Health News:Health Education Solutions' Advanced Cardiac Life Support Courses Gain Approval from American Academy of Physician Assistants 2Health News:Pumping Up the Volume in the Face to Reduce Signs of Aging 2Health News:Pumping Up the Volume in the Face to Reduce Signs of Aging 3
... national reference laboratory and a worldwide leader ... offers an extensive test menu of highly ... and anatomic pathology. Owned by the University ... than half of the nation's university teaching ...
... ARUP Laboratories is a national reference laboratory ... research and development. ARUP offers an extensive ... medical tests in clinical and anatomic pathology. ... Laboratories' clients include more than half of ...
... a national reference laboratory and a worldwide ... ARUP offers an extensive test menu of ... clinical and anatomic pathology. Owned by the ... more than half of the nation's university ...
... reference laboratory and a worldwide leader in ... an extensive test menu of highly complex ... anatomic pathology. Owned by the University of ... half of the nation's university teaching hospitals ...
Medicine Products: