19.1.30 NRx Enhancements

Added a log out message that displays if Log Out is clicked. If the Log Out button was accidentally clicked, this gives you the opportunity to answer No and continue operations.

Log Off Message::

Added logic for the reversal of a test transaction in Batch FastClaims. To use, set the following in Reports/Third Party Billing Forms/type BFC.

Added logic to Batch File Updates (System Utilities, Batch Record Updates, Transaction) to select a test transaction. Set Test Transaction to YES.

Added the ability to send the store's NCPDP Number to DeliveryTrack when using Transaction Delivery Sheets.

Control whether to display Rx Alert Notes in Label and Dispensing and Quality Assurance Queues at the store level.

Added an option, Display Rx Alert Note, in both Label and Dispensing and Quality Assurance Checking Setup screens on the Facility Record/Workflow Queue Setup and Store Options/Workflow Options screens. Default = Checked. Select for the Rx Alert Note to display within the selected Workflow Queue. If set at the facility level, the system displays the Rx Alert Note for any patients in that facility. Otherwise, it defaults to the store level setting (below).

Display Rx Alert Note - Facility/Quality Assurance Checking Setup:

Display Rx Alert Note - Facility/Label and Dispensing Setup:

Added an option, Display Rx Alert Note, to Store Level Options/Workflow Queue Setup/Label and Dispensing and Quality Assurance Check Control Options hyperlink. The setting on the Facility Record overrides this one.

Display Rx Alert Note - Store Level Options/Quality Assurance Checking Setup:

Display Rx Alert Note - Store Level Options/Label and Dispensing Setup:

Added an option, Copy Rx Alert on Reassign, to Store Level Options/Rx Processing. Default = Unchecked. Select to copy Rx Alert Notes over to new prescriptions after a reassign. The date and time from the original Rx Alert is copied over to each subsequent prescription. Rx Alert Notes also carry over for discontinued and reassigned prescriptions during the Fill Lists process if this option is selected.

Copy Rx Alert Note on Reassign - Store Options/Rx Processing:

Enhanced 835 Reconciliation to allow Price Plans to be attached to groups so that reversals can be applied to more than ten plans.

Added two folders, 835 Current and 835 Archive, to the QS1 Application Data folder on the server. The 835 file must be saved in the 835 Current folder in order to use Price Plan Groups for Batch Reconciliation. Once processed, the 835 file is automatically moved to the 835 Archive folder.

Added an option, Price Plan Group Utility, to Store Control, Pricing Options. Access to set up Price Plan Groups to use when processing Batch 835 File Reconciliation reversals. Click the Add Price Plans button to access the Add Price Plan(s) window. The scan that displays can be sorted by Name or Bin Number. Select one or multiple Price Plans by double clicking or pressing the corresponding function key; click Add Selected.

Add Price Plan(s):

Note: To add a new Price Plan Group Name, select a blank space in the Price Plan Group Name field; click Edit Group Name. Type the Price Plan Group Name; click Save. Use View/Remove Plan to view and/or remove plans from the group. To add a Price Plan to a Group, click the Add Price Plans button. Search the scan by Price Plan Name, or Bin Number.

Price Plan Group Utility:

Added an option, Price Plan Group, to the Price Plan/General Information screen. Select the double arrows to assign a group created in the Price Plan Group Utility.

Price Plan Group:

Added an option, Batch 835 Reconciliation, to System Utilities/Reconciliation. Under this option are two sub menus; Process 835 Files and Archived 835 Files. Click Process 835 files to access the Batch Process 835 Files screen to begin the Batch 835 Reconciliation process. The files from the 835 Current folder display, along with # of Claims, Amount Paid, Payment Method, Paid Date, Payer Name, and Price Plan Group Name. Select the box next to the files to process. Use the Price Plan Group Name column to select the Price Plan Group Name to associate with the 835 to process reversals. Click the Select All button if you want to process all files. Once ready, click Process to begin. A backup prompt displays. A Transaction File backup is highly recommended. Click Yes if okay with prescription processing being interrupted to proceed with a backup of the Prescription Transaction File. Time varies depending on the size of your Transaction File. Click No to bypass the backup and continue with the batch. Click Cancel to perform the batch later. The system matches the Primary, Secondary, and Tertiary Paid Amounts in the 835 file with the claims based on Rx # and Date Filled on the Transaction for posting payments and adjustments of claims. For reversals, posting requires an additional match of the Transaction Price Plan in the Price Plan Group associated with the file and the paid amount.

Batch 835 Backup Prompt:

Batch Process 835 Files:

Archived 835 Files:

Process 835 Files:

Batch 835 Reconciliation Menu:

Added a screen, Archived 835 Files, accessed from System Utilities/Reconciliation/Batch 835 Reconciliation. Double click or press the corresponding function key to view details.

Archived 835 Files:

Added a History tab to the Reconciliation Information. Click Recon Info from the Transaction/General Information screen to access. Select the posting date under the 835 File Date heading to view details. Added a link, Reason Code Definition, to the History tab as well as the existing Primary, Secondary, and Tertiary tabs. Click to be directed to www.x12.org for a full list.

Reason Code Definition:

835 File Date:

History - Reconciliation Info:

Select drugs from the Dispensing Drug Cabinet List during order entry to make choosing the correct drug more efficient.

Added an option, Disp Drug Cabinet List, to the Facility Record. Default = Unchecked. If selected, the Dispensing Drug Cabinet Scan from the facility displays during new order entry. The NDC and Med ID display in both the Dispensing Drug Cabinet Scan in new order entry and the Dispensing Drug Cabinet List from the facility. Otherwise, the Scan Drugs screen continues to display during new order entry.

Dispensing Drug Cabinet Scan:

Display Disp Drug Cabinet List - Facility:

Dispensing Drug Cabinet List - Facility:

View more insurance details right from the Transaction with the new Insurance Response Details screen. Click the View Insurance Response Details link from the Primary, Secondary, or Tertiary Billing screens to access the Insurance Response Details screen:

Insurance Response Details - Transaction/Billing:

View Insurance Response Details Link - Transaction/Billing:

Added a section, Last Submitted Patient Insurance Information, to the Billing (Primary, Secondary, and Tertiary) screen to include:

Added the following billing screens on the Transaction. They update once the claim is retransmitted:

Added a field, Treatment Type, to the Transaction/Additional Information screen. Display field only for a 2-digit Treatment Type. This entry is pulled from the Rx Summary. If the entry on the Rx Summary changes, this field stays the same until the Transaction is updated.

Treatment Type - Transaction/Additional Information:

Added Select, Sort, and Print Options for third party free text for primary, secondary, and tertiary.

Added a screen, Transaction Note, accessible by the new vertical bar icon, Transaction Note on the Transaction. Enter a note up to 200 characters. Only one note can be added to a Transaction.

Transaction Note Icon - Transaction:

Transaction Note - Transaction:

Added an option, Automatically show Transaction Notes, to Store Level Options/Rx Processing. Default = Unchecked. If selected, the Transaction automatically defaults to the Transaction Note screen instead of the General Information screen.

Automatically Show Tx Notes - Store Level Options/Rx Processing:

Added a tab, Transaction Note, to Filling Options. Click to add a note when filling a prescription. The Note is saved once the Fill function is used.

Transaction Note - Filling Options Tab:

Added Security Access Flags, Transaction Notes, Add Transaction Notes, and Edit Transaction Notes. If the Transaction Notes option is selected, both Add and Edit Transaction Notes are automatically selected. Both Add and Edit Notes default to checked for pharmacists. Only Add Transaction Notes is defaulted to checked for technicians. Neither option is selected by default for general users.

Transaction Notes - Security Access:

Added a Note indicator to the Transaction History scan. Displays for transactions with notes. Select the transaction to edit or view the note.

Note Indicator - Tx History:

Added a Short Cycle heading to the top of the Rx Summary when in Verify New Order if the Short Cycle flag is selected.

Set whether to send the Submission Clarification Code by facility. Added an option, Submit SCC from Rx, to the Facility Record/General Information. If selected, the system attaches the SCC code selected on the Facility to the Rx Summary for submission and overrides the setting for the same flag in Store Level Options.

Submission Clarification Code - Facility:

Added Transaction Count as an available Select, Sort, and Print Option in Customized Reports and Data Exports. Enter the Seq Nbr from the Transaction to run a report based on the transaction sequence number.

Added a label routine, 805, to print Treatment Type from the Additional Prescription Information screen. Displays as Tmnt Type and the 2 digit-code on the label.

Patient safety and accurate prescription verification are a priority of QA Multi-Point Check.

Added Multi-Point QA Checks to Store Level Options and the Facility Record. The Facility setting overrides the Store.

Added an option, Multi-Point QA Check, to Store Level Options (and Facility), Workflow Queue Setup. Default = Unchecked. Select and click Save and the option displays a link. Click to access requirement choices for New and Refill Prescriptions. Defaults to all checked. Security Access applies. At least one option must be checked.

Multi-Point QA Check:

The Multi-Point QA Check screen displays once the prescription is selected from the QA Queue and processed. Verify the information is correct and select each section. Click Complete from this screen or the Rx Summary. The date, time, and user information is recorded for items such as Security Journals and Transactions just as they are when items are completed through a standard QA. If the Multi-Point QA Queue is turned off in Store Level Options but items remain, they go through the standard QA Queue.

Multi-Point QA Check Screen (Rx Summary Screen):

Added a header, Multi-Point QA Check, to the Rx Summary/Additional Info and Rx Transaction when in use.

Updated the eRx hardcopy as per state requirement to include the quantity as alpha characters in addition to the numeric quantity. The Refills and DAW fields print a line below their prior positions.

Added an option, Animal, to the New drop-down menu (shortcut A) on the Rx Processing Tasks screen. Instead of In Care Of, the field, Animal's Owner, displays with a Create link. Click to populate information about the owner. This links the owner to the pet the same way that two patients are linked through Head of Household and A/R Charge Accounts.

Animal Option:

Note: For MSM customers, the Animal option displays under the New menu regardless if Patient displays (access is turned off).

Change the sex field on the Patient Record to Animal. Any preexisting records in the system with this option chosen automatically convert to an Animal Record.

Animal Record:

Added report option, Animal Owner Name, to the Cust Demog/Animal Owner File. This pulls in the Owner Last Name and Owner First Name fields.

Added Print Option, Animal Rx Info, to the Daily Audit Report. Default = NO. Type YES and two columns print: Animal Owner and Animal Owner DOB.

Animal Info Daily Audit Print Option:

Updated Daily Audit Report Formats 1, 2, and 3 (classic and enhanced): Added a column, Animal Owner, to the Prt Detail? options 1, 2, and 3. Only prints if the Print Option Animal Rx Info = YES. The Animal Owner Last Name and First Name print. Added a column, Animal Owner DOB. Only prints if the Print Option Animal Rx Info = YES. The Animal Owner DOB prints.

Updated the system to report prescriptions to PMP when the Patient Sex is set to Animal for class 2-5 drugs, Drugs of Concern, or if Send in PMP is selected, using the following fields:

Added an option, Owner Req'd for PMP Animal Rxs, to Store Level Options/Rx Filling Options. Default = Unchecked. If selected, the Animal Owner window displays at the time of fill to prompt for required fields for PMP. The information is saved in the Owner Info Required window and does not prompt at the next fill unless the owner information is removed from the Animal Patient Record.

Added the ability to send the store's NCPDP number to DeliveryTrack when using Delivery Sheets. To use, type YES for the Delivery Svc Print Option in Delivery Sheets.

ECS - FastClaim Status:

Rx Processing Tasks - FastClaim Status:

Moved the FastClaim Status option from the Rx Processing Tasks screen to FastClaim Options in Store Level Options/FastClaim. Default = Normal.

FastClaim Options - Store Level Options/FastClaim:

Note: The FastClaim Status can no longer be changed from the Prescription Processing screen.

The Warning message that displays when the FastClaim Status is changed explains what affect the FastClaim status will have on claims. Any status other than Normal displays the following indications in the new location on the Rx Processing Tasks screen:

Warning - FastClaim Status:

Updated HME forms by changing the service dates to date filled to improve accuracy. Click here to view areas changed.

Date Filled - HME Forms:

Updated the system to the 4.2a format for RI PMP. These fields are now reported:

GCN 004513 for Naloxone and other opioid antagonists are reported to PMP regardless of the Send in PMP option being unchecked or if they are not on the FDB Drug of Concern list.