by Mark Fulton
Team SoftWriters keeps up-to-date with the ever evolving regulatory landscape through the gathering of information from the multitude of federal and state regulatory changes. Keeping your pharmacy compliant in a dynamic regulatory environment is among our top priorities. To stay ahead of the curve, we work closely with our customers, industry consultants, Federal and State regulatory bodies and of course our own LTC network ecosystem, spearheaded by MHA.
Here is the first in series of many blog articles to keep our customer pharmacies and partners up to date with the regulatory enhancements that we have rolled out in the FrameworkLTC suite of products in 2018.
Medicare Beneficiary Identifier for Medicare Part D Eligibility
FrameworkLTC now pulls the Medicare Number from the “MBI” section within the 504-F4 segment of the eligibility response for Medicare Part D eligibility checks. If the “Update patient Medicare number from Medicare Part D eligibility inquiry” system option is set to "Yes" and the patient does not have a current Medicare Number on their profile, the value from the “MBI” section is stored in the Medicare Number field.
Medicare Beneficiary Identifier for Medicare Part A/B Eligibility
FrameworkLTC now pulls the Medicare Number from the “MBI” section within the 526-FQ segment of the eligibility response for Medicare Part A/B eligibility checks. If the “Update patient Medicare Number from Medicare Part A/B eligibility inquiry” system option is set to "Yes" and the patient does not have a current Medicare Number on their profile, the value from the “MBI” section will be stored on the Medicare Number.
Mega Rule Regulation: Nursing Stations
In FrameworkLTC if the "Use Mega Rule regulations" nursing station option is set to "Yes", it now allows the user to specify which drug groups the nursing station would like to regulate. This new functionality also provides the ability to copy the drug groups to other nursing stations with the nursing station option set to “Yes”.
Controlled Substance Export
When using the ASAP 4.1 format and the state is Kansas, FrameworkLTC now populates DSP17 with the either the Posted Date or the Dispense Date depending on the "Use Rx Posted Date for Dispense Date" setting.
When using the ASAP 4.2 format and the state is Massachusetts, FrameworkLTC will now leave AIR03 and AIR04 as blank fields, AIR05 will be populated with "delivery" and AIR11 will be populated with "03".
Stay tuned for additional upcoming blog articles in this exciting series!
Mark Fulton is a Clinical Product Manager at SoftWriters, a Pittsburgh-based company that offers pharmacy management software solutions to pharmacies serving the long-term care community. Mark applies his 16 years of pharmacy expertise to the software development process, creating value by building a more efficient linkage between customers and the development channel.