Workflow
Added a Workflow option to prompt for an NDC check for compound prescriptions. When Include Compound Rxs for NDC/Image Check is selected in Store Control/Store Level Options/Workflow Queue Setup, the system prompts for the check during Labeling/Dispensing and/or Quality Assurance. When the option is not selected, the system does not prompt for the NDC check. This option can only be bypassed by an employee with security access override permission.
Added a Security Access option to allow an employee to bypass the Perform NDC Check option in Label/Dispensing and Quality Assurance Chk. When this option is checked, the system requires an NDC match in both queues. If there is not a match, the user must have security access to bypass the check. The system automatically logs any successful pharmacist bypass/override of the NDC check in the Workflow file. In the event an employee cannot bypass the NDC check, they can sent the prescription to the Error Resolution queue for pharmacist review.
SIG Enhancements
There are two fields which determine the SIG display in the NRx system:
Patient Record/Additional Info: The language selected under Patient Preferences controls SIGs on this patient's new prescriptions.
Store Control/Store Level Options/Rx Filling: The language selected under SIG Options sets the default language at the store level.
When both the Patient Record Preferences and Store Control Options are set to Spanish, the Spanish SIG displays first on new prescriptions, with the option to display the English translation:
The Spanish SIG also displays first on the Rx Summary for the prescription, with the option to click Translation and display the English SIG:
If filling the prescription for an English pharmacy and Spanish patient, the English SIG displays first. Click Translation and the Spanish SIG displays.
Also note that the SIG link displays on the Rx Summary screen. This allows the label to print correctly since the label programs print based on the Patient Record language preference.
After the Transaction Record for the prescription is created, access the SIG Record (Rx Summary/Access Files/SIG Record) and note that Spanish text displays.
In 19.1.11, you have the option to view both the English and Spanish SIGs after the prescription number is assigned:
Prebuilt SIGs (T1T, T1T1D, UD, TUD) are saved in SIGFILE and SSIGFLE
Custom SIGs including SIG Builder SIGs (T1T PO QD BID, T1C BID) and free-hand SIGs (TOMAR UNA TABLETA) are saved in SIGFILE and SSIGFLE
After the Transaction Record for the prescription is created, access the SIG Record (Rx Summary/Access Files/SIG Record) and note that Spanish text displays on the Spanish side of the record. This situation is encountered when the Spanish text already existed in the pharmacy records.
The Patient Profile screen displays the SIG language based on the Store Control/Store Level Option language preference. If the pharmacy is Spanish, the SSIGFLE file is checked first. If English, the SIGFILE is checked first:
English Pharmacy and Spanish Patient:
Spanish Pharmacy and English Patient
HME Compliance Documentation
for Pharmacy
Added Medicare Part B HME documentation compliance to NRx. Customers may continue to adjudicate claims to the vendor of choice, but now also have the option to utilize this new functionality in order to increase Medicare documentation compliance and to have in the event of an audit. Pharmacies can release a prescription for billing after the proper patient signatures and prescriber documentation are obtained. Documentation includes Delivery Tickets, Medicare Supplier Standards, Assignment of Benefits, Mobility Assistive Equipment Forms and Physicians Orders. This feature is optional and billed on a per claim charge through PowerLine. Click here for full details.
Health Market Science (HMS) Prescriber Updates
Added the ability to update Prescriber Records via HMS Electronic Prescriber Updates.
Prescriber Record
The following fields were added or modified on the Prescriber Record/General Information screen. These fields are available in Batch Record Updates.
Prescriber Last Name: 35 alpha/numeric positions
Prescriber First Name: 35 alpha/numeric positions
Prescriber Middle Name: 35 alpha/numeric positions
Prescriber Address Line 1 expanded from 25 to 35 alpha/numeric positions
Prescriber Address Line 2 expanded from 25 to 35 alpha/numeric positions
Practice Name: 35 alpha/numeric positions
NADEAN (Narcotics Addiction DEA Number): Nine alpha/numeric positions
State: Two alpha/numeric positions. State associated with NADEAN
The following fields were added or modified on the Prescriber Record/Additional Information screen. These fields are available in Batch Record Updates.
Credential: Ten alpha/numeric positions for the prescriber's credentials (examples: ARN = Advanced Registered Nurse, CCFP = Certificate of the College of Family Practice).
Auth for Schedule 2, 3, 4, 5: Check each class of drug the prescriber can dispense. If the prescriber is not authorized for a drug class and tries to prescribe that class, the system displays the message Prescriber Not Authorized for Schedule 2, 3, 4 or 5.
Sanctions: Federal sanctions levied against the prescriber. Start Date = MM/DD/CCYY. End Date = MM/DD/CCYY. Board and Action = 50 alpha/numeric character fields for the board issuing the sanction and the action taken.
CTP (Certificate to Prescribe): HMS updates with a Y (checked) if the State License Number is for a nurse practitioner in Ohio. Otherwise, the field is blank.
DPS (Department of Public Safety): HMS updates this field (up to 15 alpha/numeric characters) for the state of Texas. Otherwise, the field is blank.
Added a Notes icon below the Prescriber Record/Additional Information screen. Click this icon to display the Prescriber Record/Notes screen. The Notes screen is not available in Batch Record Updates.
The following fields were added or modified on the Prescriber Record/Electronic Rx screen. These fields are available in Batch Record Updates.
Service Levels/New Rx: Sent from the prescriber to the pharmacy as a new prescription. Default = checked (Y).
Service Levels/Refill Request: Sent from the pharmacy to the prescriber to request a refill. Default = checked (Y).
Service Levels/Controlled Substance (EPCS): Authorization for the prescriber to send electronic Rx information. Default = unchecked (N).
The following fields were added or modified on System Utilities/Data Updates/Electronic Data Updates/Set Up Prescriber Options screen.
Update Practice Name: Default = unchecked (N). When checked (Y), the practice name on the Prescriber Record is updated (up to 35 positions).
Update Prescriber DEA: Default = unchecked (N). When checked (Y), the following fields on the Prescriber Record are updated:
Prescriber DEA #: First nine positions in the DEA field, then additional positions in the DEA Suffix field up to 11 positions.
DEA Expiration Date
DEA Schedule (2, 3, 4, 5)
Update Prescriber NADEAN: Default = unchecked (N). When checked (Y), the prescriber NADEAN is updated (up to nine positions).
Update Prescriber State License #: Default = unchecked (N). When checked (Y), the following fields on the Prescriber Record are updated:
Prescriber State License #: Up to 25 positions
Prescriber State License Expiration Date
State Issuing License: Two positions
Prescriber State License Type: Up to three positions
Prescriber CTP: One position
Update Prescriber DPS: Default = unchecked. When checked (Y), the Prescriber DPS is updated (up to 15 positions).
Update Prescriber Credential: Default = unchecked. When checked (Y), the Prescriber Credential is updated (up to 10 positions).
Update Prescriber Sanctions: Default = unchecked. When checked (Y), the following fields on the Prescriber Record are updated:
Sanction Start Date
Sanction End Date
Board Description: Up to 50 positions
Action Description: Up to 50 positions
When checked (Y) and Sanction information is NOT received, the system automatically clears these fields on the Prescriber Record.
Update ePrescribing Identifiers: When this field is checked (Y), the following Prescriber Record electronic prescribing information is updated:
New Rx
Refill Request
Controlled Substance (EPCS)
Updated the drop-down list for Preferred ePrescribing Vendors. Updates for vendors include:
No Preference: Update Level 1 ID # and Level Three ID # with the first vendor received.
Emdeon: Update Level 1 ID # and Level Three ID # with information received for Emdeon. Level 1 ID Qualifier is normally C for clinic.
Surescripts: Update Level 1 ID # and Level Three ID # with information received for Surescripts. Level 1 ID Qualifier is normally D for prescriber (Doctor).
Update the Prescriber Record
NOTE: The Prescriber Record must have a DEA # or NPI # to perform this update function.
To update the Prescriber Record, click Request Info on the main title bar on the Prescriber Record. Electronic Prescriber Information displays. Click Update Prescriber to populate the Prescriber Record with the electronic information shown in bold. If the information is returned and more than one prescriber match is made, the Prescriber Updates Scan displays. Select the correct prescriber from the scan to update that prescriber's information.
Electronic Refill Requests
Updated the Electronic Refill Request option from the Rx Summary screen to display the message, Prescriber Does Not Accept Electronic Refill Request, if the prescriber does not accept electronic refill requests.
Label Routines
Added Label Routines for the new prescriber fields:
Prescriber First Name = 670
Prescriber Middle Name = 671
Prescriber Last Name = 672
Prescriber Suffix = 673
Prescriber Address Line 1 = 674
Prescriber Address Line 2 = 675
Prescriber Practice Name = 676
Prescriber NADEAN = 677
Prescriber DPS = 678
Prescriber CTP = 679
Report Select, Sort, Print and Export Options
Renamed the following:
Doctor Name to Doctor Name (25) - Existing combined last and first name at 25 characters
First Name to First Name (12) - Existing Print/Export option only for the first 12 characters of the first name
Last Name to Last Name (17) - Existing Print/Export option only for the first 17 characters of the last name
Added Report option fields:
Doctor Name (50 characters)
First Name (50 characters)
Last Name (50 characters)
Added Prescriber Select, Sort, Print and Export options:
Last Name (35 characters)
First Name (35 characters
Middle (35 characters)
Middle Initial (1 characters)
Practice Name (35 characters)
NADEAN (9 characters)
NADEAN State (2 characters)
CTP - YES/NO field - Currently only used in Ohio
DPS Number (14 characters) - Currently only used in Texas
Sanction Board (50 characters)
Sanction Action (50 characters)
Sanction Start Dt (8 characters)
Sanction
End Dt (8 characters)
System Utilities
Updated the following to reflect new fields:
Copy, Clear and Reload - Prescriber
Selective Doctor/Prescriber File Reset
Automatic File Purging - Prescriber and Doctor Security Journal
Automatic File Compression - Prescriber and Doctor Security Journal
Batch Record Updates - New Electronic Prescribing Information screen, Additional Prescriber Information screen, display changes to the Prescriber Record
Rebuild Individual Keys - Prescriber and Doctor Security Journal
Prescriber Updates
Security Journals
Updated Doctor Security Journals with the new prescriber fields.
Price Plan
Added Price Plan error messages which display if the prescriber is not authorized to dispense a Schedule 2, 3, 4 or 5 drug, or if there are sanctions against the prescriber.
The system automatically checks the Drug Record to determine the Drug Class and the Prescriber Record to confirm the prescriber's authorization for that class. In the example below, the prescriber is not authorized to dispense Schedule 2 drugs.
When filling or refilling prescriptions, the system automatically checks the Prescriber Record for Sanctions. If the Sanction Start Date is earlier than the current system date, and the End Date is blank or a future date, an error message displays. In the example below, the prescriber has Sanctions.
Commercial E1 Transactions (Emdeon CardFinder™)
QS/1 has entered a partnership with Emdeon CardFinder, a real-time pharmacy benefit eligibility service. With Emdeon CardFinder, a single transaction returns commercial coverage for more than 220 million patients, as well as Medicare coverage information for patients 65 years of age or older.
Added PowerLine BIN 610144 (Processor Control Number = CARDFINDER or COMMCF for Age Checking) to send and receive E1 transactions (commercial and Medicare). Click here to view setup procedures for CardFinder. Click here to view setup procedures for CardFinder with Age Checking.
Acquisition Cost Basis
Added a new field, Acquisition Cost Basis, to the Price Plan/General Information screen. This field is used to specify which cost field on the Drug Record will display on the prescription under Acquisition. The Transaction Acquisition Cost field and Price Quote have been updated to use the Acquisition Cost Basis field.
Increment Fill Number
The transaction fill number now increases each time a fill of a prescription occurs. The fill number is a two-digit field which cannot be edited. The exception is for partial fills; they will have the same fill number until the partial fill is completed. Example:
The prescription is written for 30 tablets but the pharmacy dispenses 10 because they are out of stock:
1st fill of 10 tabs is fill number 00.
2nd fill of 10 tabs is fill number 00.
3rd fill of 10 tabs is fill number 00. Partial fill is now complete.
The fill number now increases on the next fill:
4th fill of 10 tabs is fill number 01.
5th fill of 10 tabs is fill number 01.
6th fill of 10 tabs is fill number 01. Partial fill is now complete.
Batch third party programs have been updated to increase the fill number and 'Fill Number' is a report option in the Rx Trans File.
Wireless Signature Capture
Added the ability to capture signatures via a wireless device. Features of this option include:
An Employee Security Access option to control access to the wireless signature capture program. When you have multiple systems, enabling this option in Point-of-Sale enables it in NRx and SystemOne and vice-versa.
A Store Level/System/Electronic Signature Option, Require Login After Wireless Signature Capture.
A Windows Client option to control when to execute the wireless Signature Capture application or the regular GUI Client. NOTE: The General tab on this screen was changed to Tablet. When Signature Capture is selected, the login uses the new employee security access flag to determine whether the user is authorized to use the wireless signature capture application.
If the user is not valid, the following message displays: Login process failed for the following reason(s): Invalid user id
If the password is incorrect, the following message displays: Login process failed for the following reason(s): Password is incorrect
If the user is not authorized for a specific store, the following message displays: Login process failed for the following reason(s): User is not authorized at this store
If the user is not authorized for wireless signature capture, the following message displays: Unable to process login: User is not authorized for wireless signature capture
If the store password is incorrect, the following message displays: Login process failed for the following reason(s): Store password is incorrect
A Signature Capture window displays after a successful login. A specific patient can be selected from this scan by name, birth date, phone number or prescription number.
The ability to scan Prescription Transaction and Batch bar codes to search for a patient
A prompt, Hand to Patient, displays in the wireless signature capture application before changing to a prompt that requires patient action. The following prompts require patient action: HIPAA Signature Capture, Patient Counseling, Prescription Log Signature Prompt and Patient Certification.
An End of Signature Capture prompt displays at the end of the process and the display is dependent upon whether the patient or employee last had the tablet.
Centers for Medicare and Medicaid Services (CMS) Notice of Appeals Rights
Added the ability to print the CMS Notice of Appeals Rights for customers. A new Fastclaim Store option automatically prints the CMS Notice for prescription claims with a rejection code of 569 or an approved message code of 018.
There is also an option to manually print the CMS notice from the Claim Payment Detail and Claim Rejection Detail screens. A default printer can be designated for the CMS Notice. A CMS Notice of Appeal Rights was added to the list for Prescription Processing when using the Printer Selection Analysis Utility so that the form will print just like patient monographs print.
The patient's name, drug description and Rx number populate on the CMS notice. The system automatically checks the Language field on the Patient Record to determine whether to print an English or Spanish version of the form.
A CMS Notice is printed for each drug in a compound prescription that returns with a rejection code of 569 or an approved message code of 018.
Patient Address Verification via United States Postal Service (USPS)
Implemented a web service to verify patient addresses through USPS. This web service requires the QS/1 Web Services Gateway. Contact Customer Support to have the gateway set up on your system.
An icon, Verification Request, displays next to the patient address on the Patient Record. When selected, the web service is accessed to verify the address. The results of the verification display next to the icon. If verified, a check displays; if not verified an X displays. If a verification request has not been made, an additional icon does not display. When a new patient is added, or changes are made to an address, the system prompts to send a verification request.
Interactive Voice Response (IVR)
Added a filter to prevent IVR Refill Requests with attached voice mails from going into the InstantFill queue. To prevent refilling Level 2 and 3 prescriptions, added the option, Prevent Filling for Note Status Levels 2-3, to Store Control/Store Level Options/Rx InstantFill.
RxMedic ADS
Added an option, Rejected Rxs in Label/Dispense, to Store Control/Store Level Options/System/Automation Options. This option moves rejected and filtered prescriptions to the Workflow Label/Dispense queue. If this option is not checked, the label prints automatically and the prescription moves to the Quality Assurance queue.
First Databank Duplicate Therapy Module (DPT 1.0)
Updated First Databank files to support new files for duplicate therapy. This feature is included in clinical updates.
Skip Note Warnings in InstantFill
Updated the InstantFill prescription process to allow the user to select Store Options to determine if filling should be prevented for each Note Type. Previously, filling was automatically prevented for a Note Status with a Level 2 or 3. A section, Prevent Filling for Note Status Levels 2-3, was added to Store Level Options/Rx InstantFill. Also added an IVR voice mail restriction to prevent filling prescriptions with a voice mail attached. If a voice mail exists, the message Review IVR Voice Message displays.
Drug Record/Drug Strength Field
Expanded the Strength field on the Drug Record/General Information screen from seven (7) to 10 characters.
Architext Warning Labels
Added an option to the Patient Record to indicate the language to print on warning labels. The Warning Label Language drop-down list is located under Patient Preferences on the Patient Record/Additional Information screen. Languages available are:
A - Arabic
B - Bengali
C - Creole
E - English
F - French (Canadian)
G - French (European)
H - Hindi
I - Italian
J - Japanese
K - Korean
M - Chinese Simplified
P - Polish
Q - Portuguese
R - Russian
S - Spanish
T - Chinese Traditional
V - Vietnamese
NCPDP D.0 Fields
Added values to NCPDP Field 420-DK, Submission Clarification Code, on the Facility Record, Rx Summary Claim Information screen and the Transaction Primary, Secondary and Tertiary Billing screens:
33 - Long Term Care Dispensing: 7 day or less not otherwise represented
36 - Long Term Care Dispensing: dispensed outside short cycle
42 - Prescriber ID submitted has been validated, is active
43 - For Prescriber ID submitted, assoc DEA renewed or in progress
44 - For Prescriber ID submitted, assoc DEA recently licensed or re-activated
45 - For Prescriber ID submitted, assoc DEA is a valid Hospital DEA with Suffix
46 - For Prescriber ID submitted, and assoc DEA, the DEA has authorized Rx rights for this drug DEA class
Added values to NCPDP Field 466-EZ, Prescriber Misc Qualifier, on the Prescriber Record/Additional Information screen:
16 - CMEA Cert ID
17 - Foreign Prescriber ID
Added values to NCPDP Field 522-FM, Basis of Reimbursement Determination, on the Claim Payment Detail screen and the Transaction screen:
20 - Nat Avg Drug Acq Cost (NADAC)
21 - State Avg Acq Cost (AAC)
Modified NCPDP Field 393-MV, Benefit Stage Qualifiers, on the Claim Payment Detail/Additional Info screen. A maximum of four qualifiers can be returned per claim and the screen changes depending on which qualifiers are returned. These qualifiers and amounts are stored on the Transaction Record. If Benefit Stage Qualifiers are not returned, the message No Benefit Stage Amounts displays when the link is selected on the Claim Payment Detail/Additional Info screen. Qualifiers are:
01 - Deductible
02 - Initial Benefit
03 - Coverage Gap
04 - Catastrophic Coverage
50 - Not Paid Part D, Paid Part C
60 - Not Paid Part D, Paid as Supplement Benefit Only
61 - Part D drug not paid Part D, Paid as Co-Administered Benefit Only
62 - Non Part D drug not paid Part D, Paid as Co-Administered Benefit Only
70 - Part D drug not paid Part D, Paid by beneficiary under negotiated pricing
80 - Non Part D drug not paid Part D, Hospice, etc., Paid by beneficiary under negotiated pricing
90 - Enhanced or OTC drug not applicable to the Part D spend, but is covered by Part D
Modified NCPDP Field 511-FB, Message Reject Codes, to the Claim Rejection Detail screen. Codes include the following:
42 - Prescriber ID submitted is inactive or not found in plan's database
43 - Assoc DEA to submitted Prescriber ID is inactive in plan's database
44 - Assoc DEA to submitted Prescriber ID is not found in plan's database
46 - Assoc DEA to submitted Prescriber ID does not allow this drug DEA class
612 - LTC Appropriate Dispensing Invalid Submission Clarification Code (SCC) combination
613 - The packaging methodology or dispensing frequency is missing or inappropriate for LTC Short Cycle
Short Cycle Dispensing - Process Returns
Post Facility Credits
Added the ability to scan a QS/1 barcode for prescriptions and transactions containing seven or eight digits when processing returns or facility credits.
Facility Accounts Receivable Options
Added and renamed fields for on the Facility Record/Additional Information screen:
Added a field, Maximum Return Days. Default = Blank. Type up to a three-digit number of days for return. If the return date, minus the date filled, is greater than the Maximum Return Days entry, the message Maximum Return Date has been exceeded displays. If the return date, minus the date filled, is less than the Maximum Return Days entry, the credit may be posted.
Renamed the field Amount to Post to Calculate Cost.
Added the field Default Credit Calculation. Default = Transaction Cost.
Added the field Process Type. Default = Blank.
Added the field Destruction Method. Default = Blank.
Added A/R User ID as a report option. The system stores the ID of employees as they post credits, adjustments and payments, as well as the function used to perform them (i.e., auto-posting).
Security Access
Added the option, Process Return, to Security Access Flags. Check this option to give employee the ability to process returns from a facility.
Return Manifest
The Return Manifest is used to process items returned from a facility. From the NRx main menu, click Facility Management. Select Process Returns and click Create Return Manifest. The Create Return Manifest screen displays. Process items by scanning the item barcode or typing the prescription number. To view manifests already created, click Return Manifest Scan.
When returning an item, enter a Process Type on the Return Manifest to indicate how the return should be handled. Returned item information is updated on the Transaction/General Information screen. To view updated information, click the Return History link under Facility Information.
The Return History screen lists all the return manifest containing a specific prescription number/transaction number/sequence number. A maximum of six lines display for each prescription. Column headings are:
Status: Open or Completed
Return Mainfest #: Up to 8 characters; from the Manifest # of the posted Return Record
Quantity: Up to 4 characters; from the Transaction Record Qty dispensed
Original Value: From the Transaction Record; MCOST = Qty x Cost Base
Restock Fee: From Restock Fee of posted Return Record
Credit Amount: Up to xxxx.xx; from A/R Credit amount of posted Return Record
Process Type: Up to 25 characters; from Process Type of posted Return Record
Created by: Up to 3 characters: from Created By of posted Return Record
When a credit is attempted for an item, the system checks for a matching prescription number with a transaction sequence number and a status of Open or Return in the manifests. If there is a match, the message Prescription exists on a Return Manifest. Please complete Return Transaction in Process Returns. The A/R Credit will not be Posted displays.
If a quantity being returned is greater than the original quantity dispensed, a warning displays. If the quantity entered is too large, a Quantity Error displays.
The same prescription number can be entered multiple times for different transactions in the Return Manifest. A warning screen displays if the number is already in the manifest queue. Options are to add a return for another transaction or create a partial return.
Price Plan
Added the option, Accepts Rebill (B3) Transactions, to the Price Plan/Parameter Information screen. Check this field to send the transaction/claim as a B3 rebill or leave unchecked to reverse and retransmit transaction/claim as a B2 claim.
Label Routine
Added Label Routine 684 to print SCD on short cycle prescription labels.
Return to NRx Enhancements Archive
