Staying Compliant with House Charge Accounts
BMs require pharmacies to collect patient copayments in full and any deviation from that practice may be considered fraudulent behavior, with limited exceptions.
Entries by Sara Hathaway, PharmD
Avoid the Creon® Chargeback Catastrophe by Following THIS Billing Rule
Creon® is indicated for the treatment of exocrine pancreatic insufficiency due to cystic fibrosis, chronic pancreatitis, pancreatectomy, or other conditions. Claims for these pancreatic enzymes find themselves on audits year after year, and the audit risk has just increased as …
The Power of Clearly Communicated Sanction Policies in HIPAA Compliance
Adequate and thorough training is an essential component to all employee on-boarding and continued employment. One critical topic to discuss is sanctions, because the HIPAA Privacy and Security Rules both require sanction policies.
Potential HIPAA Violations Lead to $1.3 Million Settlement
According to a September 11, 2023 news release from the U.S. Department of Health and Human Services (HHS), “L.A. Care, the largest publicly operated health plan in the country paid $1,300,000 to settle” potential HIPAA Security Rule violations.
3…2…1…The Countdown is On to Complete Annual Fraud, Waste & Abuse Training
Now is the time to ensure staff complete their annual Fraud, Waste & Abuse and HIPAA Compliance training since the December 31st deadline will be here before we know it!
NEW PAAS Resource – Printable Signature Logbook
Many pharmacies have made the switch to electronic signature log capture, but paper signature logs have not gone away.
Recent DEA Rule Change – Transferring Electronic Prescriptions for Controlled Substances for Initial Fill
The DEA published a couple rule changes recently which pharmacies need to be aware of. In the September 2023 Newsline, the updated rule regarding partial fills for controlled substances was discussed. The other recent change published in the Federal Register was titled, Transfer of Electronic Prescription for Schedules II-V Controlled Substances Between Pharmacies for Initial Filling.
Ransomware Attacks – Is Your Data Protected?
Safeguarding electronic Protected Health Information (ePHI) is as important for a big Fortune 1000 company as it is for independent pharmacies.
Recent DEA Rule Change – Partial Fills for Schedule II Controlled Substances
The DEA recently updated the rule regarding partial fills of Schedule II (C-II) prescriptions. Pursuant to the Comprehensive Addiction and Recovery Act (CARA) of 2016, pharmacies are allowed to partial fill any C-II (e.g., stimulants, opioids, etc.) at the request of the prescriber, or the patient, as long as all the following criteria are met …
Nearly 90% of Cyber Breaches are Caused by…
Every day, pharmacies and their hardworking staff safeguard patients’ Protected Health Information (PHI), but breaches still occur.
