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. Find 340b tools such as templates for policies and procedures, registration, audit and compliance plans, and additional resources to ensure 340b program. Although the software can be very effective in helping covered entities manage their programs, it also requires consistent maintenance to ensure integrity. We use 340b split billing software to manage the process of identifying eligible prescriptions. Magdalena is a 340b subject matter expert with several years of experience in large dsh hospitals and hospital systems. Experience as a director of pharmacy for a 400 bed dsh hospital also served as a regional director of pharmacy. We are also offering a recertification exam, based on the content of the new module, so 340b apexus certified experts aces due to recertify can maintain their 340b expert status. Find 340b tools such as templates for policies and procedures, registration, audit and compliance plans, and additional resources to ensure 340b program integrity. Our 340b architect software simplifies the complexities of managing a 340b so you can focus on the health of your patients and your organization. The prime vendor has developed a number of tools to help covered entities operationalize 340b program compliance guidelines. Splitbilling software vendor selection and setup considerations. Exceptional customer support provided by experienced 340b advisors. The 340b program allows covered entities to serve their vulnerable.
Informal oversight of 340b practice, including updating the split billing software, should occur continuously. Our software solutions help you improve financial performance, maximize operational efficiency and maintain regulatory compliance. Analyzes and oversee the utilization of technological solutions in place for 340b program facilitation e. For example, instructors outlined the steps in starting up as a ce subject to the gpo prohibition, including how far in advance the ce should begin negotiating contracts with split billing software systems. In split billing 340b software, a sophisticated logic matrix pinpoints the prescriber, the location where a prescription was generated, and the last time the patient was seen in a 340b qualified medical center, along with ensuring that a wide array of rules are met that allow 340b pricing. With the advanced 340b operations certificate program, employees are able to. Effectively, this method identifies all of a ces op charge codes and uses them to identify drug. This software uses logic based on configurations, chosen by the entity, to virtually separate 340b from non 340b transactions after they occur. We are your trusted partner for 340b third party administration and audit readiness. Getting started with 340b compliance an information guide for.
This software uses logic based on configurations, chosen by the entity, to virtually separate 340b from non340b transactions after they occur. For example, instructors outlined the steps in starting up as a ce subject to the gpo prohibition, including how far in advance the ce should begin negotiating contracts with splitbilling software systems. Loyola university medical center 5 rutgers university 4 the university of chicago medicine 4. If you are a cah, sch, or rrc you can read the rest of this for fun since you are not subject to the gpo exclusion. Among the most important members of the 340b team of a covered entity ce are the software vendors. Staff pharmacist supervisor 340b program, the pharmacy technician iii 340b program will provide oversight and maintenance of the 340b split billing software and other tpas used for contract pharmacies. The lowstress way to find your next 340b job opportunity is on simplyhired. University of virginia medical center department of. She hit on another key topic that is related to splitbilling software maintenance. Washington hospital hiring pharmacy 340b program coordinator. Annual report department of pharmacy duke university. Oversees individual ministry 340b programs through the development and refinement of split billing software and other technology setups, implementations and enhancements of new programs, analytic reporting, internal audit and compliance programs, program stewardship, and advocacy. Optimizing 340b purchasing practices american journal of. Using splitbilling software to simplify 340b ordering w.
Our 340b architectsm software helps you minimize the challenges of running a 340b drug dispensing program so you can spend more time caring for your patients. Visante has extensive experience in working with all splitbilling vendors. Comparing 340b university and the 340b coalition conference. Psgs splitbilling software is fully hosted on our secure website, allowing full inventory visibility and fast, direct ordering from wholesalers. University of virginia medical center department of medical center procurement 0 jefferson park ave. Discusses 340b inventory models in mixeduse areas of a hospital and the role in compliance of split billing software and multiple purchasing account types.
Visantes focus is to help covered entities prepare for a hrsa 340b program audit. 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. The purpose of this tool is to provide a decision checklist for entities to evaluate splitbilling software. Visantes experienced team members are all apexus 340b university graduates, many of. Discusses 340b inventory models in mixeduse areas of a hospital and the role in compliance of splitbilling software and multiple purchasing account types. Cynthia also added a 340b analyst, and stated this should be a no brainer.
Knowledge of 340b split billing software preferred. Overview of the 340b drug pricing program background. Nov 20, 2017 among the most important members of the 340b team of a covered entity ce are the software vendors. Sentry data systems is a healthcare intelligence company, offering software applications to maintain 340b compliance, pharmacy management and contract pharmacy solutions.
Danger is imminent if the chief complaint and unique documentation dont support separately billed services. The emr or pharmacy billing system data feed to the split billing software should include a drug identifier and quantity to record how much of a particular drug is administered to the patient, as well as the patient status, to determine the replenishment account e. November 14, 2018 the university of virginia medical center is issuing the following addendum to the abovereferenced rfp. Set up perpetual inventory replenishment and split billing to optimize inventory management. The apexus advanced 340b operations certificate program goalslearning. Sunrxs splitbilling solution virtually separates 340b, non340b, 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. Split billing software vendor selection and setup considerations. Sentry data systems the healthcare intelligence company. Maintain a separate 340b inventory use a replenishment system splitbilling software. Oct 01, 20 danger is imminent if the chief complaint and unique documentation dont support separately billed services. 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. Advanced 340b operations certificate program apexus. The pharmacy director and the 340b program managercoordinator should be involved in the auditing process.
The johns hopkins university hiring 340b program manager. In his previous roles, michael served as a certified pharmacy technician and a. Just providing reports from your split billing software will not suffice. Even better, our software comes with our hightouch customer relationship approach. Her areas of expertise within 340b program implementation and management include. The term split billing is used to describe this software, which.
Split billing is risky business aapc knowledge center. To understand the 340b drug pricing program 340b program, one must begin in 1990 when congress created the medicaid rebate program to lower the cost of pharmaceuticals reimbursed by state medicaid agencies. Uvhs required a vendor partner to provide software that tracks 340beligible purchases. Split billing rfp guidance, implementation and program redesigns. Maintains split billing software and formulates the financial objectives for the 340b program. Along with the financial benefits of the program, there are. Neither gary merchant nor robert theriault have no.
Must have a minimum of one year experience with autosplit billing 340b software and working knowledge of 340b program operations. Documenting 340b value is key to success pharmacy times. Our industryleading 340b program management technology supports hundreds of covered entities and contract pharmacies across the u. An example of socalled split billing is when the provider performs a physical exam and also discusses the patients chronic preexisting conditions, linking the chronic diagnosis codes to the office visit and the reason for the visit v70. Audit data requests are extremely comprehensive and serve to test the reconciliation process is consistent with 340b regulations and, whether it is your contract pharmacy or hospitalbased pharmacy, a clear 340b audit trail. New this year, 340b university delved into some of the operational weeds. Utilizes and maintains a working knowledge of computerized systems splitbilling software programs and specialized equipment and technologies utilized in operations related to the 340b program in collaboration with the pharmacy 340b compliance program manager the pharmacy it team and lifespan information services. Familiar with 340 b split billing software and configurations. If you cant get this done in the 60 days, then at minimum add your nongpo account and place all orders on that and split bill to the 340b account. This knowledge activity is a recording of a program originally presented by live webinar for the healthsystem pharmacists and technicians of cps and their client facilities. The metrohealth system cleveland, oh hiring 340b program.
Our experts understand the multiple challenges 340bparticipating hospitals must address, such as gpo prohibition, orphan drug restrictions, medicaid duplicate discountmedicaid billing, patient definition, 340 registration and recertification process, split billing software and maintenance, as. If you havent already, attend a 340b university session or use their ondemand modules. 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. There are over 466 340b careers waiting for you to apply. Software split billing system companies continue to add solutions yearly and vary strategies for payment companies have agreements with some wholesalers man hours to perform duties will vary companies have added features for future 340b changes. You will lose all gpo opportunity until you have the triple split figured out, but you will have met the gpo. The apexus advanced 340b operations certificate program has released a new module enabling learners to stay current on the latest 340b program trends and hot topics. Rob has presented at many 340b university sessions and on the topic of 340b at numerous other conferences around the country. Getting started with 340b compliance an information guide for eligible entities page 1 apexus answers call center 340b prime vendor program 340b university 888. The software then determines from which account each transaction should be reordered. Manual splitbilling solutions software splitbilling solutions rulesbased compliance engines what is split billing. Ohio state medical center ohio state university wexner. Oversees individual ministry 340b programs through the development and refinement of splitbilling software and other technology setups, implementations and enhancements of new programs, analytic reporting, internal audit and compliance programs, program stewardship, and advocacy. The 340b pharmacy inventory coordinator employs problem solving, analytical, and technical skills to maintain 340b compliance.
University of virginia medical center department of medical. Opa policy release on the gpo exclusion this is for disproportionate share hospitals dsh, pediatric hospitals ped, and cancer hospitals can. Because 340b pricing is for medications used in the outpatient setting only, covered entities must have inventory control to ensure 340b drugs are not administered to inpatients. Maintains split billing software and formulates the financial objectives for the 340b program, coordinating the monthly and yearly preparation of 340b revenue estimated. Mar 09, 2016 new this year, 340b university delved into some of the operational weeds. Getting started with 340b compliance an information guide. Split billing verity solutions verity 340b solutions. Maintains the splitbilling software platform, works to ensure cost savings are maximized by 340b purchases and works in partnership with the finance department to investigate, correct, and modify any billing. Effectively communicate strategy, goals, progress and results to executive management and other matrix partners. Rxstrategies 340bplus split billing solution provides endtoend 340b program management with a focus on program compliance. As a splitbilling specialist, michael audits covered entities for compliance with program rules and ensures they understand how to most effectively utilize the tools and reports available in their 340b vendor solution. We would love to have additional 340b experts join us in the conversation. In splitbilling 340b software, a sophisticated logic matrix pinpoints the prescriber, the location where a prescription was generated, and the last time the patient was seen in a 340bqualified medical center, along with ensuring that a wide array of rules are met that allow 340b pricing. Delivers full visibility on both retail and 340b pricing for optimized purchasing.
We are owned and operated by johns hopkins health system and johns hopkins university and have been servicing maryland. Mar 23, 2020 utilizes and maintains a working knowledge of computerized systems split billing software programs and specialized equipment and technologies utilized in operations related to the 340b program in collaboration with the pharmacy 340b compliance program manager the pharmacy it team and lifespan information services. The operational processes that make the 340b program work at the metrohealth system. Completion of apexus 340b university andor advanced 340b operations certificate program may be acceptable in lieu of 340b work experience. Maintains the split billing software platform, works to ensure cost savings are maximized by 340b purchases and works in partnership with the finance department to investigate, correct, and modify any billing. Ensure that the entitys 340b split billing software is accurate. If you are new to the program, do not underestimate the time and resource it will take to maintain a split billing software system. Access automated processing and powerful reporting tools capable of managing all critical 340b program elements through a secure, hipaacompliant portal. Split billing is the process of separating the inpatient ip and op hospital charges from 340beligible areas. Monitor and manage 340b split billing software to ensure appropriate application of multipliers and proper matching of ndcs collaborate with duh finance and maestro care willow to complete comprehensive annual pharmaceutical price and charge updates. Tennessee society of cpas 2017 health care conference tuesday, november 27, 2017 presented by.
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