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Here's What's New in NRx:
Updated the system with changes/fixes to the SMP submission file layout
and logic for reporting COVID-19 immunizations. Click here
for details.
Print Replace Hardcopy Automatically
Added the option to print a hardcopy for a Replace Refill Response
automatically. This can be set to match the same option that already
exists for New Rxs, as C2s are treated like new prescriptions.
Added an option, Print Hardcopy for Replace Refill Response, to Store Control > Store Level Options > Store Options > Rx Filling > Electronic Prescribing Options. Default = Unchecked. Select to print hardcopies for all Replace Refill Responses.
Matching with RelatesToMessageID for Resupply Messages
The system matches eMARs to prescriptions based on the RxReferenceNumber
(Rx#) and Prescriber Order Numbers (PON) in order to automatically
display the Rx Summary. However, the PON may or may not be unique
enough to match a specific prescription. To handle instances where
there is no RxReferenceNumber included, logic was added to also perform
matches based on the RelatestoMessageID.
Customers with Nursing Home Module
Added the following to support features in DeliveryTrack®:
Added an icon, Delivery Information, to Facility Management > Facility/Unit Record Management vertical icon bar. Select to access the Delivery Information screen for Delivery and Tote Options.
To provide failproof sorting, added Signature required by option to both of the following locations:
Store Control > Store Level Options > Delivery Information > Delivery Manifest Options
Facility Management > Facility/Unit Record Management > Delivery Information
Use the dropdown to select the option in which to sort by when printing the Delivery Manifest. The Manifest Sorting Options on the same screen automatically lock in the selection.
Removed the option, Export File, from Facility Management > Facility/Unit Record Management > Delivery Information > Workflow Delivery Manifest Options Manifest Page Options. The system uses the Export Path for this function instead. If Export Path is left blank, the system translates the Export File = NO. If the field is not left blank, the system translates the Export File = YES.
Added the ability to send the NP/PA instead of the supervising prescriber
to comply with state requirements.
Added a Use NP/PA Print Option to System Utilities > Interface Control > File Export Interfaces > Unit-Dose Dispenser Export. Default = Blank. Enter YES to send the NP/PA instead of supervising prescriber if linked on the prescription.
Added options to eligibility checking that allow for dual eligibility
checking to coordinate with changes made by Change Healthcare. To
prevent audits due to over-checking, checking can now be processed
for patients under 65 that are covered under both Commercial and Part
D.
Store Level Options
Modified the following under Store Control > Store Level Options > Store Options > Fastclaim > Eligibility Options:
Renamed the Facilitator Price Plan option to Part D Price Plan. Click the double arrows to select the Part D Price Plan.
Added two options; both default = blank. Commercial Price Plan - Select the double arrows and select the Commercial Price Plan from the scan. Combined Price Plan - Select the double arrows and select the Combined Price Plan from the scan.
During the Service Pack update, the system retains the Facilitator Price Plan if it's PCN is blank or 2222222222. If the Facilitator PCN was CARDFINDER, the Price Plan is moved to the Combined Price Plan field.
Patient Record/Insurance Information - Eligibility Check
Note: Eligibility checking uses the bin and PCN associated with each Price Plan in order to correctly route inquiries.
Added the following options to the Eligibility Check button: Part D Eligibility Check, Commercial Eligibility Check, and Combined Eligibility Check (Part D, Part D Enhanced, and Cardfinder).
If the Part D Price Plan in Store Options has a blank PCN, the Part D Eligibility Check option displays.
If the Part D Price Plan in Store Options has a PCN of 2222222222, the Part D Eligibility Check with Date option displays.
Commercial Eligibility Check is used for patients that qualify for commercial insurance and not Medicare. Combined Eligibility Check is used for patients that qualify for Medicare or Commercial. Therefore, the patient's birthdate is used as matching criteria. If a patient is under age 65, they may still qualify for Medicare, so the option is available to check for Combined Eligibility. However, if they are not eligible, only the Commercial Eligibility check should be used. Otherwise, a rejection response is returned instead of Approved.
Part D Eligibility Checking Logic
Commercial Eligibility Checking Logic
The system uses the Commercial Eligibility Checking Price Plan set in SLO. If one is not present, a message, Commercial Price Plan required in Store Options before proceeding, displays.
Otherwise, the following occurs:
A successful check returns eligibility information that displays at the bottom of the Patient's Insurance Record. This occurs automatically if the Update Patient with Facilitator Response option in SLO is selected.
Combined Eligibility Checking Logic
The Combined
Eligibility Price Plan uses the logic currently set in place
for Cardfinder in which a single transaction returns commercial
coverage as well as Medicare coverage information for patients
65 years of age or older.
The system uses
the Combined Eligibility Checking Price Plan set in SLO. If
one is not set, a Combined
Price Plan required in Store Options before proceeding message
displays.
If there is
no Facilitator Price Plan in SLO, a message, Unable
to Determine Store Facilitator Price Plan, displays.
The Combined
Eligibility Check checks the patient's birthdate. If the age
is less than 65 (or left blank), a message, Patient
age is less than 65 - Patient Birthdate is xx/xx/xxxx,
displays. Click Ok
to perform the eligibility check. Click Cancel
to return to the Patient Insurance screen without performing
a check.
If the Combined
Eligibility Check is selected, a Combined Price Plan is set
in SLO, and the patient is 65 or older, or Enter is pressed
after the patient age prompt, the eligibility check is performed
for the specified plan.
If successful, the eligibility information returned displays at the bottom of the Patient Insurance screen. The eligibility information automatically populates if the option, Update Patient with Facilitator Response, is selected in SLO.
Batch Eligibility Checking
Added a Print Option, ELIG SRC?, to Reports > Third Party > Third Party Billing Forms > State Code = ELG. Default = Blank. Select one of the following: Part D Check, Commercial Check, Combined Check.
Store Identification Report
Changed the Facilitator Price Code to Part D Price Code in the printed list of FastClaim Options.
Added Commercial Price Code and Combined Price Code to the printed list of FastClaim Options.
Prescription Monitoring Program (PMP) State Code MP
Updated the system to recognize state code, MP, for processing the
Rx Monitoring Log and manual reporting (code PM7) for Commonwealth
of the Northern Mariana Islands (CNMI).
Reports
use PM7 ASAP format 4.2A
Segments
IS01 (Unique Source Information ID - Ex: Phone Number) and IS02
(Information Source Entity Name - Pharmacy Name) included
All drug
classes included
DSP17 Date
Sold included
PAT01-PAT03
Fields Required
Required
fields at dispensing:
Note: A prompt
displays if any of the fields below are left blank. Complete the
fields to continue.
Patient
Street Address: City, State, and Zip
Patient
DOB
Patient
Sex
Complete
Phone Number (Including area code - no hyphens) Note:
State accepts all 9's for individuals without a phone number.
Doctor
DEA
Customer
ID (Driver's License)
ID
Qualifier
Issuing Jurisdiction
Added Treatment Types for PMP Reporting
Added the following selections to the Treatment Type dropdown on the
Rx Summary/Additional Information screen to meet PMP Reporting requirements:
10 - Acute
Opioid Therapy
11 - Chronic
Opioid Therapy
Added the ability to enter and save the 2-digit numeric value in the Treatment Type field without using the dropdown.
Added the following to the Interventions
Tab:
410122002 - Assessment
of adherence to medication regimen
71525007 - Depression
screening using Patient Health Questionnaire Nine Item score
445598007 - Assessment
using generalized anxiety disorder 7 item score
763078008 - Assessment using Asthma Control Questionnaire (procedure)
Added the following to the
Encounters Tab:
763078008 - Assessment using Asthma Control Questionnaire (procedure)
Added a
line for signing initials
after each dispensing pharmacist signature to bring conformity to
the Daily Audit Log and other logs as well as comply with state law.
This addition applies to all three formats of the Daily Audit Log
for regular and enhanced versions, and both types; Management and
Prescription.
Medication Administration Form (MAR) Form M59
Added a Print Option, Prt Rx Org Dt, to the M59. Enter Y3
to print the Rx Start Date from the Rx Summary.
Price Plan
Added a Process Type field to the Price Plan > Additional Information screen. Default = Blank. Click here for options. The option entered defaults to the Return Manifest when a prescription is entered manually or scanned. This field overrides the entry in the Process Type field on the Facility Record. Added the Process Type field to Batch Record Updates for Price Plans.
Return Manifest Screen
Added the following fields: Acq, Calculate Credit, and Drug Expiration.
Drug
Expiration:
Pulled
from the Transaction
Hidden field
Calculate Credit:
Dropdown options:
Transaction
Cost - Default credit amount is the cost of the drug quantity
returned from the last Transaction. No credit is given
for the markup or dispensing fee.
Full
Price - Credit the cost of the drug returned along with
the dispensing fee/markup fee.
Pro
Rate - Credit the cost of the drug returned, plus a percentage
of the dispensing fee/markup.
Defaults to the Credit Calculation field on the Facility Record. If blank, defaults to Transaction Cost.
Acq:
Pulls
from the Transaction
Recalculates based on quantity
Updated logic for the following fields: Credit Date and Misc Date.
Misc Date:
When
a date is entered in the Miscellaneous date field and a credit
is posted, the Rx AR Detail - Misc Date field is the date
that was entered (instead of 00/00/00).
Added the [Rx A/R Detail] Misc Date to the Rx A/R Detail File for Custom Reports and Data Exports.
Credit Date:
When backdating the system, the Credit Date now displays the date of the system (instead of the current date). The Credit Date displays as the posted date on the AR Profile and AR History Profile.
Added a Process Type column/drop-down list with update options Return, Credit A/R, Rebill as well as Return Not Accepted. Changed the former option Undecided A/R and Undecided Return to Undecided Return and A/R. Functionality
Return,
Credit A/R, Rebill - If set for third party (PC Type) and
Post Return is selected,
the Return Status is Returned. If Post A/R
Credit is selected, an A/R Credit Transaction is created
with the new Qty Disp. Once the transaction has been rebilled,
the Return status is set to Completed.
Post
A/R Credit - System returns inventory, credits A/R and rebills
the prescription to the third party and the Status is set
to Completed.
Return,
Credit A/R, Rebill - If set for a cash prescription (PC Type)
and Post Returns is
selected, and an A/R credit is posted, the system posts the
return and credit, but no rebill is processed due to cash
PC Type.
Return
Not Accepted - If Post Returns
is selected, the Status of the Transaction is set to Complete.
Quantity is not returned and nothing is credited to A/R.
Undecided
Return and A/R - Same functionality as Undecided Return and
Undecided A/R. The Status is set to Open, the Quantity is
not returned, and no amount is credited to A/R. The Status
of Open allows the line item entry to be edited by changing
the Process Type and Quantity.
Return, Credit A/R, Rebill - If Post Credit A/R is selected, the system returns the quantity to inventory, credits A/R, and rebills the prescription if PC Type = Third Party. Otherwise, the quantity is returned and A/R is credited.
Added a message that displays if a line item is selected (checkbox), and a Process Type is not chosen.
"Process Type is required. Please select a Process Type and try again."
Added a message that displays during the rebill process if and multiple prescriptions are selected with a Process Type of Return/Credit A/R/Rebill and Post A/R Credit is clicked.
Added a Help link to the bottom of the screen. Select to view Column Description details and definitions for Calculate Credit, Status, and Process Type.
Partial Return Window
Updated the logic for the Partial Return screen. When a prescription is selected on the Return Manifest screen and the Partial Returns button is selected, the Entered Entry - Quantity and Amount are not be editable. The Partial Return field automatically calculates the quantity based on the Original minus Entered Entry = Partial Return.
Example: If Original = 30 and Entered Entry = 20, the system populates a value of 10.
The system does not allow an invalid partial return quantity/amount to be saved.
A/R Profile - Accounts Receivable Description
Updated the Posted Via field on the Patient's A/R Profile to populate as Process Returns and display the drug name and RETURN CR (instead of just the drug name) under the Description column when there is a return type of Return, Credit A/R and Return, or Credit A/R, Rebill and the Post Returns button is selected and then Post A/R Credit is selected.
Return Manifest - Calculate Credit
Updated the logic for the Calculate Credit field on the Return Manifest for third party transactions. If a prescription with a Price Plan Type of Third Party or Medicaid is scanned, the Calculate Credit field is automatically set to blank. The Orig Val and Credit Amt display the Copay if a third party transaction is added to the Return Manifest.
Transaction - Rebill Quantity
Added a Rebill Quantity field to the Transaction > General Information > Filling Information. If an order is added to a Return Manifest and the Process Type is Return, Credit A/R, Rebill, the Quantity rebilled to insurance (Original Qty - Returned Qty) and the Rebill Quantity populates on the Transaction. This field only populates with the use of the Process Type of Return, Credit A/R, Rebill. The Rebill Quantity cannot be edited.
Transaction History
Added a Rebill Quantity column to the Transaction History screen.
Return History
Added an Acq Cost column and Total Quantity field to the Return History screen (Search > Rx Number > History > Select a Transaction > Click Return History link under Facility Information). The Total Quantity populates if the transaction has been rebilled to the third party. Acq Cost displays the cost of the drug * new quantity (original quantity dispensed - quantity returned).
Resubmittal Grace Period
If Resubmittal Grace Period is set under the Price Plan and a prescription is rebilled that exceeds the grace period using the Process Returns module (Process Type = Return, Credit A/R, Rebill) and the transaction has a PC Type or Third Party or Medicaid, the Grace Period message displays once Post A/R Credit is selected and the Process Type is set to Return/Credit A/R Rebill. Select Reverse Claim to credit A/R and resubmit the claim. Select Cancel to not credit A/R or resubmit the claim. Any line items in which the resubmittal grace period has exceeded are not processed when Cancel is selected.
If there is more than one prescription that exceeds the Resubmittal Grace period, a View Rxs hyperlink displays. Click to display the prescription numbers below. The verbiage of the link changes to Hide Rxs. Click to revert back.
Note: To display the link, the Resubmittal Grace Period field in the Price Plan must be populated (the system date and date filled are used to determine if the grace period is exceeded), the Process Type is Return/Credit A/R/Rebill, and the Post A/R Credit button is selected.
Manifest Return Scan
Added a Facility Name search option. Search by Manifest # or Facility. Defaults by Manifest #. Added a caret to the Create Date/Time with the ability to sort by ascending order.
Custom Reports, Data Exports, and Security Journals
Added Rebill Quantity to the Rx Transaction File. The value pulls from the Rebill Qty field on the Transaction.
Rebill Reporting
Added a report that details ECS Reversals Created, ECS Submittals Created, and Rxs Not Rebilled by Process Returns. When Return/Credit A/R/Rebill and Post Returns is selected, and the system completes prescriptions to be returned, credited and rebilled, the report prints with details to include: Rx Number, Patient, Drug Name, Qty, Trans Date, and Price Plan.
Partial Returns
Added new Process Type drop-down options for Entered Entry, Partial, and Return fields: Undecided Return and A/R, Return, Credit A/R, Rebill, and Return Not Accepted.
Electronic Rx File Maintenance
To ensure optimal system speed and performance, added the ability to
purge and archive eRx Files. Available functions include:
Archive
your ERXFILE with the Archive date you specify
Purge
the ERXFILE and all VERIFY Messages with options of which message
types to purge and a purge date you specify
Compress
ERXFILE with the date you specify
Retrieve
electronic information for archived prescriptions
Retrieve the sidebar window and print electronic hard copies for archived e-Rxs
Things to know before the Purge and Archive Process:
The Purge and Archive can take up to 24 hours depending on the size of your ePrescription File (ERXFILE). However, completion time is shorter if the Purge and Archive are run separately.
Whether purging or archiving, the electronic records are removed from the ERXFILE. The file size of the ERXFILE decreases (# of records) after the purge and/or archive are complete.
Purge
Records are purged (deleted) and compressed from the ERXFILE.
Archive
Records are purge and compressed from the ERXFILE, but moved to the archive file (e-RX Historical).
The Purge and Archive Schedulers can be set up to run independent of each other. However, if both are set up, the Archive Scheduler uses the Purge Scheduler settings to indicate how many records are purged.
If the Purge Scheduler and the Archive Scheduler are set up, the system checks both the purge and archive settings for which records need to be purged and which records need to be archived. Example: If the Purge Scheduler is set to keep 10 years of NewRx and the Archive Scheduler is set up to keep 2 years of NewRx, any records 11 years or older is automatically purged in addition to archiving only the last 2 years of NewRx Records.
If the Archive Scheduler runs on 1/1/2021 for the first time and both NewRx and RxRenewal Response is set to keep 2 years, the system moves the NewRx and RxRenewal Response Records from 1/1/2021 to 1/6/2019 from the ERXFILE to the Archive (ERx Historical file). Because the Purge Scheduler is set to keep 10 years of NewRx and RxRenewal Response Records, the system also purges any NewRx and RxRenewal Response Records received from 1/6/2011 and older, removing the records from the ERXFILE, but does not put the records in the Archive.
The number of years in the Purge Scheduler should not be lower than the number of years in the Archive.
File Maintenance Scheduler
Added options, ERx Purge and ERx Archive, to System Utilities > Master File Maintenance > Maintenance Scheduler.
Added a File Maintenance Scheduler screen for the e-Rx purge and compress process. To access, highlight the E-Rx Purge line item and select the Edit button on the horizontal toolbar. Click here for details.
Note: Please be sure to check your state's rules and regulations for keeping record of electronic prescriptions before purging!
Maintenance Scheduler Settings:
Frequency: Options include
Monthly, Quarterly, and Yearly.
Note: Daily purges
are not necessary.
Next Run Date: Enter the date to run the next purge.
Run Time: Enter the time for the purge to run.
Last Completed: The system
displays the date and time of the purge last completed.
Electronic
Information File Setting:
Enter
the number of years to keep for each incoming and outgoing message types.
Default = blank. Max = Up to 2 numeric characters.
Note: If you want to
keep 5 years of records, enter 5 or 05. The system keeps up
to 5 years of records for that message type.
Records are NOT purged if set to 00 or blank.
Added a File Maintenance Scheduler screen for archive process. To access, highlight the E-Rx Archive line item and select the Edit button on the horizontal toolbar. Click here for details.
Note: Please be sure to check your state's rules and regulations for keeping record or electronic prescriptions before archiving!
Maintenance Scheduler Settings:
Frequency: Options include
Monthly, Quarterly, and Yearly. Default = Quarterly.
Note: Daily archives
are not necessary.
Next Run Date: Enter the date to run the next archive.
Run Time: Enter the time for the archive to run.
Last Completed: The system displays the date and time of the archive last completed.
Electronic Information File Settings:
Enter the number of years to archive for each incoming and outgoing message type. Default = blank.
Records are NOT archived if set to 00 or blank.
Verify Messages
The system automatically purges all Verify messages up to the current date after all other electronic records have been purged based on the File Maintenance Scheduler settings. Therefore, no purge date is necessary.
Electronic Hard Copies from Archive
Print hard copies for electronic prescriptions from archive via the Rx Summary > Electronic Information screen. Select Print > Electronic Information. Choose the type of e-Rx Record to print. The electronic sidebar displays and the hard copy prints.
Automatic File Purge
Removed the option, Electronic Rx, from System Utilities > Master File Maintenance > File Purges.
Reports
Added the ERX Hist I QHD and ERX Hist O QHD File Choices to Custom Reports.
ERX Hist I QHD - Use for reporting incoming messages if/when files are archived: NewRx, RxRenewal Request, RxChange Response, NewRx ResponseDenied, Census, and Drug Administration.
ERX Hist O QHD - Use for reporting outgoing messages if/when files are archived: RxRenewal Request, RxChange Request, NewRx Request, and RxFill.
Updated the following:
Bolded
the Export Report Print Option.
Added
two options, Print Details (bolded) and Report Type
Added
drop-down option to the Value column for the Report Type Print
Option. Options include: BOTH, 3rd Party, and Private Pay. Default
= BOTH.
Updated logic
If Print
Details = YES and Report Type = BOTH, then all details
print including Totals pages on the report for both 3rd
Parties and Private Pay/Facility.
If Print
Details = YES and Report Type = 3rd Party, then details
print for 3rd Parties only including Totals page.
If Print
Details = YES and Report Type = Private Pay, then details
print for Private Pay (A/R) including Totals page.
If Print
Details = NO and Report Type = BOTH, then just the Totals
page prints for both 3rd Party and Private Pay (A/R).
If Print
Details = NO and Report type = 3rd Party, then only 3rd
Party Totals print.
If Print Details = NO and Report Type = Private Pay, then only Private Pay (A/R) Totals print.
Security Journal and HIPAA Log - New Task
Moved Security Journal and HIPAA Log programs from the DB8DELTA task and added them to a new task, DB9DELTA. These are behind-the-scenes changes that prevent certain programs from being hung up if there is a file issue within another program. Tx Billing History and A/R Adjustments remain on the DB8DELTA task.
Split Incoming and Outgoing e-Rx Messages
To increase the speed for receiving electronic messages and sending out RxFill Messages, Verify Messages, as well as other electronic requests, the tasks for Incoming and Outgoing e-Rx Messages have their own task. In Service Pack 35, the MAILJBO task has been added (first phase). In Service Pack 36, the Incoming Messages and Outgoing Messages will be split with Incoming staying on the MAILJOB task and outgoing moving to the MAILJBO task (phase 2).
File Creation for VFI statements, at times, were taking longer than
expected for ASP/Hosted customers. Updated the file data to be written
in 16k chunks verses one line at a time for performance improvement.
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