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Point of Care Programs Jeff Azevedo Jeff@AdvancedRxMgt.com
Presented By: Jeff Azevedo
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Company Overview Wholesale Medications Pharmacy & Dispensing Systems Staffing Formulary Optimization Billing & Collections Headquarters: Northern California Size: Over 500 Practices in 18 States Programs: In Office Pharmacy Physician Dispensing Drug Testing & Confirmations POC Program Management Full Service Organization
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Competitive Advantages
Maximize Revenue Capture Revenue Streams That Have Traditionally Been Referred Outside of Practice With Minimal Overhead, Substantially Increase Your Practice’s Revenue Customer Benefits: Improve Patient Satisfaction Provide Secure & Comfortable Care Offer Most Convenient Care Available Understand Patient Needs Manage Patient Outcomes Manage Medication Protocols Many Patients Fail to Pick Up Rx 75% of Americans Report To Not Take Medications As Prescribed 30% of Americans Stop Taking Their Medicine Before It Runs Out Insurance Carrier Relationship Insurance Negotiation Team Works Collaboratively With Carriers Maximize Practice Reimbursement Ensure Positive Insurance Carrier Relationships & Maintain Referrals Turn Key Programs Medication and Staffing Costs Deducted From Future Reimbursements Practices Never Pay Us or Suppliers Directly All Hardware & Technology Included Advanced Rx Benefits: Leverage Multiple Suppliers Competitive Pricing Less Prone to Shortages Medication Market Intelligence Diversified Product Offering Additional R&D Resources
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Point of Care Dispensing
Stage 1 OTC Work Comp Dispensing Stage 2 Full-Formulary Work Comp Dispensing Stage 3 Full-Formulary Commercial, Medicare, & Work Comp Dispensary Stage 4 Point of Care Pharmacy
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Stage 1 OTC Work Comp Dispensing
No Minimum Volume Requirements No System Implementation Required Dispensing Performed Via Fax or Scan Workers Comp & Cash and Carry Only High Patient Favorability Substantial Reimbursement Revenue Very Low Overhead on Staff
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Stage 2 Full-Formulary Work Comp Dispensing
Minimum of 40 Scripts Per Month Online System Implementation All Systems, Processes and Training Provided Practice Chooses Medication Inventory Ongoing Formulary Optimization Effective Insurance Company Relationships Lowest Wholesale Prices for Medications
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Stage 3 Full-Formulary Commercial, Medicare, & Work Comp Dispensary
Minimum of 400 Scripts per Month Pharmacy Management System Implementation Requires Dedicated Dispensing Staff Complete Set Up Including: Processes Hardware Software Storage Training On-going Support
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Stage 4 Point of Care Pharmacy
Minimum 2,000 Scripts per Month Licensed Pharmacist in Charge Full Support for ALL Patient Types No Longer Classified as Physician Dispense Patients Benefit from Convenience & Cost Improve Patient Outcomes Enhanced Compliance Refill Support Program Includes Licensing Implementation Medications Storage Process Training Hardware
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Prescription Routing Process
Workflow Optimization Minimal Overhead to Practice Standard Prescriptions and/ or Electronic Prescribing Our data transfer service allows practices to operate efficiently with a hassle-free transition. E-Prescribe From Practice EMR Complete Dispense! Prescription sent in-house, rather than to outside pharmacy Label is printed In-House Dispensary/ Pharmacy Collect Any Missing Patient Info Patient demographic & insurance info automatically transfer
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Electronic Adjudication
Initiate Dispense Transaction Routed Through RelayHealth Carrier/PBM Response Commercial & Medicare Billing Immediate Feedback on Patient Benefits Pre-Authorization Insurance Reimbursement Amounts Co-Pays Brand Vs. Generic Acquisition Costs Net Margin All PBM Companies in Network Medicare Claims 2 Week Turnaround on Reimbursements
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Value Added Services Provided
Formulary Optimization Minor adjustments can drastically improve physician’s net reimbursement. Insurance Company / PBM Management Contracts, electronic adjudication, medication preferences. Direct Relationship to Practice Eliminating pharmacy call backs, faxes, s, etc. Expert Billing Services Relationship management with insurance carriers ensures reimbursement.
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Drug Testing & Confirmations
24 Hour Turnaround For Results Provide Dictated Reports to Physician Cutting-Edge LC/MS/MS Lab Technology Full Integrated with Our Dispensing Platform Urine & Swab Options Test Panel Groups: Antidepressants Narcotics / Opiates Anticonvulsants Sedatives Barbiturates Stimulants Benzodiazepines THC (Cannabinoids) Ensure Medication Protocol Compliance Reduce Practice Liability Earn Additional Revenue
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Improve Patient Care Improve Patient Outcomes - Enhanced Compliance Full Refill Support Mail order option Convenience Cost Competitive Trusted Source Quicker Processing of Authorization Direct access to patient and insurance data.
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Transparency & Accountability
As Your Business Partner We Provide Monthly Reports Clear understanding of monthly activity with a detailed summary of all costs and billing activity for the month.
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Point of Care Services Partnership We Add Value to Your Practice!
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