Our 7th Event of 2010
DINNER MEETING
DATE: SEPTEMBER 15TH, 2010
DAY: WEDNESDAY
TIME: 6:30 PM TO 9:00 PM.
LOCATION: SAFFRON
6020 S. Cass Ave.
Westmont, IL 60559
PROGRAM: Pharmacy Acquistion, Expansion, and Refinance of Existing Debt.
SPEAKER: Ed Webman RPh.
RSVP: Jitesh Patel - 708-345-4658
secretaryofaipha@gmail.com
PROGRAM IS SUPPORTED BY: LIVE OAK BANK
www.liveoakbank.com
Jitesh Patel.
Secretary of Aipha.
708-345-4658 ( 11am to 4pm )
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Ready to Register for the event?
The new Patient Protection and Affordable Care Act has extended the time limit for pharmacy submission to CMS of providing proof that the pharmacy has obtained DMEPOS accreditation to deadline date of January 1, 2011. The Act has provided certain exemptions from CMS mandated accreditation provided that a pharmacy satisfies all of the below exemptions.
Pharmacies which meet all of the following criteria by January 1, 2011 will be exempt from the need to acquire accreditation:
• The pharmacy's total billing for DMEPOS products is less than 5% of the pharmacy's total sales for the previous 3 calendar years. (Note: This only applies to the pharmacy revenue not the total store revenue).
• The pharmacy has been enrolled as a supplier of durable medical equipment, prosthetics, orthotics and supplies and has been issued a provider number for at least 5 years.
• No final adverse action, either a Board of Pharmacy or other regulatory agency, has been imposed upon the pharmacy for the past 5 years.
• The pharmacy must submit proof of attestation to CMS that the pharmacy meets the above 3 criteria. ( I can help pharmacy owners draft and submit an attestation to CMS)
• The pharmacy agrees to submit materials as requested during the course of an audit conducted on a random sample of pharmacies selected annually.
Pharmacies that do not meet all of the above exemptions by January 1, 2011, should obtain DMEPOS accreditation by the earliest date possible.
Newly opened pharmacies must be accredited because they do not meet the exemption requirement of having been enrolled in the Medicare program as a DMEPOS supplier for at least 5 years. Therefore newly opened pharmacies within the past 5 years, including both chain and single store must become accredited. The obtaining of accreditation need not be prior to the January 1, 2011 deadline.
IL DHFS Requirements on NPI Numbers
Effective September 1, we will no longer accept the DEA or legend provider ID as the prescriber ID on drug claims. We will require the NPI in the prescriber ID field, as well as the primary care provider ID field if that field is populated. Over 90% of our claims are coming in with the NPI as the prescriber ID, so I don’t anticipate a significant problem for pharmacies.
In response to our questions as it relates to some hospital prescriptions being written by residents etc the Dept. has responded with the following:
“In addition, if a prescriber who practices at a hospital writes a prescription on a prescription pad that contains only the hospital’s name and address, the prescribing practitioner must print their name legibly on the prescription pad, and include their NPI. Residents must also record their NPI on their prescriptions. Residents can obtain their own NPI. See Centers for Medicare and Medicaid Services (CMS) guidance related to this topic at https://questions.cms.hhs.gov/ Search for question number 8479.”
I can ask our staff that work closely with hospitals to also reach out to them and make sure they are aware of this requirement.
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Free Pain CE:
Long-Acting Opioids:
A Look Toward Future Chronic Pain Treatment
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