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Pharmacy Plus software (Legacy)

1. NDC_ 8333 3387 01 Page 2 of Prescription entry Page 3 of Prescription entry Associated Rx number ge Rx labels to print 1 Associated Rx Date TF Date Rx Written Orig Prescribed NDC DAW Orig Prescribed Qty 0 000 Certification code Qty intended to dispense 8 000 Level of Service 2 Days supply intended 4 Alternate ID Dispensing Status Intermidiate Auth Scheduled Rx number O Other coverage code Unit of Measure Other coverage amount Other Claims Enter prescription info AWP 6 08 Acq 8 00 Remaining Qty 0 000 Esc Fi PgDn Cancel Help Done WORKERS COMPENSATION Workers compensation claims are processed by pressing the WC F7 key from the Rx entry screen the following screen is displayed am Pharmacy Plus WSO E la x Modifying prescription Invoice 4 03z jl Worker s compensation form lamas This form is used to bill a Worker Comp claim electronically or via paper form Employer AMERICA Street 123 AMERICAN EXP AVE City FT LAUDERDALE WE REZAR Emp Phone 954 293 9203 Contact MARY CONNE Carrier ID 039382932 Employee SSN 123948383 Claim Ref 18282939 Injury Date 06 04 2006 Bill to NHP 123 SW 303 STREET MIAMI FL 33186 Ins Phone 305 393 8293 Enter prescription info AWP 6 08 Acq 0 00 Remaining Qty 0 0900 Esc F1 PgDn Cancel Help Done You will be presented with the screen on the above which will allow you to enter specific
2. Condition The patients health condition or the illness being treated Allergies All the patients allergies multiple allergies may be entered Catg A category you can assign to a patient or a group of patients Generally used when producing reports Balance The balance this patient owes based on accounts receivable claims payments entered Print Stmt Whether a statement should be printed for this patient if they have an accounts receivables A R copay Whether the insurance co payment is to be posted against the patients accounts receivables HCFA 1500 Indicates whether this patients claim billing is to be done via the HCFA 1500 Notes A freeform area where you can enter any information you want to keep on a patient Insured The identification number of the insured person Name The name of the insured person Street The street address of the insured person City The city of the address where the insured person lives St The state where the insured person lives Zip The zip code where the insured person lives Phone The phone number of the insured person lives Policy The insured s policy group of FECA number DOB The Date Of Birth of the person insured Sex The sex of the insured person Employed Indicates whether the patient is currently employed E a full time student F or a part time student P Status The patients current martial status i e Single Married or other Relation The patients relation
3. Drug Inventory from the File menu then locate the Drug by the F5 find key 34 Pharmacy Plus Software Copyright 2006 am Pharmacy Plus WSO la x Drug inventory file 4 02 NDC number 56 0174 70 Drug name COUMADIN 10MG TABLET Type B B Brand G Generic Lot Pkg Size 100 00 Form TA AWP 127 11 Active Yes 0 00 Updated 09 23 2005 0 00 DEA class 0 0 00 Table 10 Your Cost 98 82 Formulary Product Federal Legend Qty On Hand Equivalent Min Inv i Taxable N ax Inv 5 Supplier code 1849876 Expire 08 23 2006 Days i Manufacture DU PONT PH sold 0 00 Category Unspecified sold 1170571996 Honograph 6599 INVENTORY IS NOT BEING MONITORED TRACKING IS SET TO OFF IN THE CONFIGURATION Esc PgDn F1 Cancel Done Help Enter the Price table number in the Table field Next you must set the Payment Plan not to use a price table as follows amp Pharmacy Plus WSO la x Payment plan file 4 02 Inde Payment Plan CS Cash Senior Citi Descr Cash Senior Citizen Cash Sale N H 5 E Cash via OmniLink talyst Rx In order to customize the price calculation for ntrus this plan you must first create a Price Table ntury Medical H that specifies how the price is to be calculated ampus Med Matri ampus via ARGUS Enter below the price table number to use when oice Rx computing the price of a brand or generic drug gna Health Care or enter to use the Table defined i
4. Rx Number Patient s name Invoice To change any of the No to a Yes use the up arrow key to move to the prompt you desire and place a Y When done entering your selection press the PgDn key for done Tip you can enter the patient s number If known to quickly select a patient Patient History Once the parameters above have been entered the following screen will be displayed 12 Pharmacy Plus Software Copyright 2006 FA Pharmacy Plus WSO 03 12 2003 23 Ck 2673 03 12 2003 G FED CAPSULE 15 03 12 2003 ASPIRIN 300MG 03 12 2003 ASPIRIN 300MG 03 12 2003 COUMADIN 10MG 5 Ck 2673 03 26 2003 A VAGINAL SULF 6 03 26 2003 COUMADIN 10MG 03 26 2003 GABITRIL 16MG 03 26 2003 BACITRACIN 500 30 03 26 2003 A amp D MEDICATE 45 03 26 2003 A amp D BARRIER HOLD 03 26 2003 A amp D BARRIER 120 04 11 2003 A amp D BARRIER 120 04 16 2003 BACTRIM DS TAB 30 Once you have entered a patient or an Rx number you will be given the following options as shown above at the bottom of the screen F4 will print a prescription label of the Rx highlighted F5 is used to document the transfer of a prescription to or from your store F6 will print a complete Rx history of the patient s profile intended for the patient for income tax records or to get reimbursements from an insurance company F7 will sort the list of prescriptions by the drug name date or the Rx number F8 will mov
5. Use the F5 key to transfer an Rx from or to your pharmacy Answer In when transferring an Rx from another pharmacy or Out when transferring an Rx to another pharmacy Transferring In documents the Rx has having been received on a given date While transferring Out removes the remaining refill or quantities remaining on the Rx and documents the transfer with the following Field definition Pharmacy The pharmacy transferring from or to Pharmacist The pharmacist transferred Telephone The phone of the other pharmacy License The number of the pharmacist Date The date the transfer occurred Notes Free form text that allows you to completely document the transfer Note The prescription transferred is not transmitted to another pharmacy this only documents that transfer on your computer system for your records F6 Report Use the F6 key to printing the patients history Rx history for a given date range Enter a date range of the prescriptions you want to print select other options if necessary and answer Yes to print the report This report is generally used by patients for tax purposes or for reemburstment from the insurance company A sample of the patients prescription history report is show follows F7 Sorting the prescriptions The prescriptions shown on the screen maybe sorted by the name of the drug date or the Rx number This is useful when locating all medications dispensed to a patient regardl
6. 0 01 no additional mark up or dispensing fee will be added and the total price will be 0 00 2 If the price calculated is between 00 01 and 10 00 then a dispensing fee of 6 25 will be added to the total price 3 Otherwise if the price calculated is between 10 01 and 30 00 then a dispensing fee of 5 75 will be added to the total price 4 Otherwise if the price calculated is between 30 01 and 100 00 then the total price will be marked up by 5 plus a dispensing fee of 1 50 5 Otherwise if the price calculated is between 100 01 and 250 00 then markup the total price by 2 6 Otherwise if the price calculated is between 250 01 and 500 00 then the calculated price will be discarded and a new price will be calculated based on pricing table 10 7 Otherwise if the price calculated is between 500 01 and 9 999 99 then the calculated price will be the final price and nothing else will be added Another example would be to quantity breakpoints instead of price the price would be calculated based on the quantity you are dispensing 30 Pharmacy Plus Software Copyright 2006 The above example is a table that will calculate the price of the prescription based on the AWP price it will first add 20 to the AWP price Then if this price is less than 10 00 it will add in addition a fee of 6 25 or if the price is between 10 01 and 30 00 it will add a dispensing fee of 5 75 to the price If the price is between 30 01 and
7. 2006 3 Deleting To delete a subject press the F3 key 4 Find To locate the subject by number name or description press the F5 key To find a subject by number or name press the F5 key then just type the name or number Patient database Whenever a patient is created the data is stored in the patient file Once stored the patient can be retrieved by either the patient or patient name Patient data can be created or modified directly in the patient file screen or in the Rx claim entry screen Zl Pharmacy Plus WSO la x Patient Name L F M Street City Home eMAIL PaymentPlan Group Cardi Medicare NHome Allergies Diagnosis Balance Active Comments Esc F1 Menu Help St Zip Work DOB Sex Relation Discount Language Safety Cap Generic Catg Print Stmt Old Medicaid F3 F5 Delete Find The definition of the fields follow ALBATX RAISA ALONSO LOUIS ALYAREZ ARIEL ALVAREZ MIKE ANDERSON CHRISTINE ANDERSON JOE ARANGO RAUL ARRUZA DAISY ASTENCIO GLORIA AVICAR ROBERT BAKER ALAN Benarroch Alberto BIAZ JOSE BIAZ SOILA BRIAN CUYANS 48 ON FILE F8 Page 2 Edit Patient a number that represent the patient on file generally issued by the computer but can also be manually entered Name The name of the patient Last name first coma first name Street The address of the patient 2 lines City The city where the pati
8. This report is used to summarize by drug the sales volume amount and profit for a given period of time It can also print an entire years activity summarized by month and can be sorted by drug name highest dollars billed highest paid highest cost highest profit or highest volume Rx Refill Reminders This report is used to remind patients to come to your store for up coming refills There are 3 types of output 1 a list of customers with phone numbers and drugs of up coming refills 2 labels of patients with refills due 3 preprinted mailing forms to remind patients of refills Prescription Report This report is used to list prescription done during a period of time in detailed or as a summary Rx Transferred 37 Pharmacy Plus Software Copyright 2006 This report list all prescriptions transferred into or out of your store in a given period Payments Received Report This report list all payments received in a given period Refill Register Report This report list all prescription refilled in a given period Optionally you can specify to list the original prescription Medicaid Der Request This report will print on Medicaid s DER from DER 1003 to order call 800 289 7799 and it is used to request an exception to the prescription limit of 6 per month Potential Medicaid Sales This report is similar to the Refill reminder Report above however it was designed specially for Medicaid patients it list not only r
9. 100 00 it will add 5 plus a dispensing fee of 1 50 to the price If the price is between 100 01 and 250 00 it will add 2 to the price If the price is between 250 01 and 500 00 the price will be re calculated based on another pricing table 10 Otherwise if the price is less than 9 999 99 it will not add more to the price and the total price will be the price already calculated For example a drug with an AWP price of 56 00 for a package of 30 tables when 30 tables are dispensed using the above table the calculated price will be 72 06 Solution AWP 56 00 20 67 20 Mark up fee of 5 70 56 Dispensing fee of 1 50 72 06 amp Pharmacy Plus WSO la x Table 25 Description Start with wp fi Z0tyZMAC MarkUp Dn before pricing by Breakpoint is Price Sa ester More on prici The minimum total price is Set price to cost if less The patients Co Payment is 1 A fixed A of the total price 3 Based on sliding price table T 2 3 4 9 6 ike 8 9 Esc Fi Cancel Done Help 1 You can also set a minimum total price to charge for the prescription 2 You can set the total price to your cost if calculated price is less than your cost The following is a description of the Price Table fields The Calculate Price Based on indicates how the base price is to be derived the following options are available A Calculate the Price based on the AWP C Calcul
10. 55370 0891 06 AMOXICILLIN 59930 1573 01 AMOXICILLIN 125MG T 60 5 59930 1573 02 AMOXICILLIN 125MG T 100 5 00 59930 1573 03 AMOXICILLIN 125MG T 500 5 00 93 2267 01 AMOXICILLIN 125MG T 100 8 77 63304 0514 01 AMOXICILLIN 125MG T 100 9 61 228 2639 11 AMOXICILLIN cecocool Copyright c 2002 Abacus Systems of Miami Inc 305 220 0400 The first drug listed denoted with an asterisk is the drug you requested to quote the rest are substitute drugs and their corresponding price quote based on the Payment Plan and quantity entered To view a monograph on any of the listed drugs press the Enter key Tip On Hand is the unit quantity of the product that is currently available in your inventory The T column indicates whether it is a branded or a generic name drug To locate the drug you wish to quote enter either the NDC or the name of the drug Next enter the payment plan and the quantity All substitutes of the drug you are quoting can be displayed along with price quotations by entering a Y for yes in the Show Substitutes prompt The price quotation is based on the definition of your customized price calculation in the Pricing Tables for the payment plan entered Print Auxiliary Rx label Use this option to print on the prescription label free form information No information other that what you type will be printed on the Rx label Sign On Use this function if there are mo
11. A Statement can be printed at any time for selected patients or all the patients in a given Nursing Home A bill to person and address other than the Nursing Home Facility can be specified on Page 2 of the patient information screen Statements can be found under the Reports menu 60 Pharmacy Plus Software Copyright 2006 Appendix A Glossary The Drug Utilization Review DUR rejections are part of the manage care program These codes where designed to assist the pharmacist arguably with drug conflicts in most cases processors will not adjudicate claims that have a drug conflict so you will need to reply to the rejection in order to have these claims adjudicate using the following codes What was the conflict code This code tells the processor what conflict are you responding to CH Call the help desk DA Drug to Allergy alert DC Inferred Drug Disease Precaution DD Drug to Drug Interaction DF Drug to Food Interaction DL Drug to Lab Conflict DI Drug Incompatibility DS Tobacco uses precaution ER Early refill Overuse precaution HD High dose alert ID Ingredient Duplication LD Low dosage alert LR Underuse precaution MC Drug actual disease precaution MN Insufficient duration alert MX Excessive duration alert PA Drug age precaution PG Drug pregnancy alert PR Prior adverse drug reaction PS
12. Breakpoint Either a quantity or a price range as specified in Breakpoint is Here you can specify up to nine different price or quantity structure that will trigger more calculations to be performed For example Mark up dn after pricing a percent used to subtract or add to the figure calculated after pricing it will only apply if the price or quantity is within the applicable break point Fee A fixed value in dollars and cents to be added to the price calculated to this point it will only apply if the price or quantity is within the applicable break point Go to Table Another price table to use in order to calculate the price This will only apply if the price or quantity is within the applicable break point all calculations done to this point are ignored Co payment Either a fixed or percent of the total price calculated can be entered This is only an estimate and is used only for your information the actual co payment deducible the patient is responsible for will be transmitted back to you when you send a claim Minimum total price The minimum price to charge This amount will be used if the total price calculated is below this amount LINKING A PRICE TABLE TO A PAYMENT PLAN 32 Pharmacy Plus Software Copyright 2006 The Payment Plan describes how the Rx will be paid for example Insurance House Charge Accounts Receivables Medicaid Medicare or Cash It describes the Plan and t
13. Product selection opportunity mostly used by PCS to inform you of a generic OH Alcohol precaution SX Drug gender alert TD Therapeutic Duplication How did you intervene This code tells the processor what you did to resolve the problem 00 Did not intervene did not interface MO Interfaced with physician PO Interfaced with patient RO Pharmacist reviewed PE Patient education instructions PF Patient referral MO Prescriber Consulted TH Therapeutic product interchange What was the result of your intervention This code reports the results IA Filled as is false positive IB Filled prescription as is IC Filled with a different dose ID Filled with different directions IE Filled with different drug IF Filled with different quantity IG Filled with prescriber doctors approval 2A Prescription not filled 2A Rx not filled directions clarified 3B Recommendation not accepted 3G Drug therapy unchanged 61 Pharmacy Plus Software Copyright 2006 Pharmacy Plus software Appendix A Glossary Relationship Code Code 0 Not Specified 1 Card Holder 2 Spouse 3 Child 4 Other Dependent Eligibility Override code EligOvr 0 Not Specified
14. To exit the screen and complete the posting press Esc or F10 Warning there is no Cancel undo key when posting itemized payments Itemized payments are posted as they are entered To undo an entire itemized posting you must enter a negative payment received amount then undo the posting to each prescription claim INVENTORY CONTROL The above screen depicts the inventory entry adjustment screen From this screen you can enter inventory received to keep a record and to adjust your on hand quantity Adjustments and unit quantity entries are also allowed If you are returning or making a correction enter a negative value for the quantity received If you enter the total cost of the package received return the system will automatically calculate the correct avg cost of your inventory and adjust your drug cost accordingly Prescription pricing Calculating Rx Price based on your formula The price table is where you defined how the Rx price is to be calculated You begin by defining the base price i e AWP Acquisition Cost or Retail price then you specify the Markup you wish to apply to the base price before adding fees then you establish the fee structure i e if the base price the markup is less then 10 00 add 5 to the price then you define any other markup after adding the fees and lastly you define how the co payment if applicable is to be calculated 29 Pharmacy Plus Software Copyright 2006 A
15. a string of characters in a field gt By pressing the CTRL and END keys at the same time you can clear the information to the right of your cursor Using these keys will not advance you to the next field gt The PAGE UP PgUp and PAGE DOWN PgDn keys allow you to page through a list gt The ENTER key is used to tell the computer to take the information entered on the screen validate and process it gt The Num Lock key allows you to use the numeric key pad to enter numbers or to use as arrow keys Tip Any field with a bright colon generally red next to it will give you an option list to choose from To obtain a selection list delete the current value in the field by pressing the Del key then press the Enter key with no value in the field The F keys at the bottom of every screen can guide you as to the options available for the screen you are on DATES Dates are entered in the MM DD YY month day year format unless otherwise specified If the date is January 2 2007 enter 01 02 2007 The system will check for illogical dates such as 02 30 2007 Pharmacy Plus Software Copyright 2006 System Start Up Pharmacy Plus WSO la x Welcome PHARMA Y E Prescription Management Software i Version 4 03 tm Enter your user and password Developed by Abacus to sign on to the system Systems of Miami Inc Miami Florida USA User 305 220 0400 Password seee
16. also used for additional descriptors such as needle sizes length of devices etc AWP The Average Wholesale Price This price is generally used to bill insurance companies and Medicaid the AWP prices are updated and reported by the manufactures of the drugs on a weekly basis this price can be automatically updated for you Updated The date the AWP price was last changed Your cost Your total per package cost to purchase the drug This is used only for profit analysis in reports to show you how much you really made in dollars 43 Pharmacy Plus Software Copyright 2006 Qty On Hand The quantity in units that is currently available in your inventory As inventory is received you will enter the amount received and cost Whenever you dispense medications the system will calculate the per unit quantity and deduct it from the inventory On Hand quantity on the drugs record Retail This is your own retail price for cash or other type of customers This price is generally used for keeping two sets of price structures for a given drug and can not be figured in the price tables Generally this is used to competitively price Generic drugs and can also be tied to the AWP so that if the AWP changes the retail price will change by the same percent DEA class A code assigned by the Drug Enforcement Administration that denotes the degree of potential abuse and Federal control of the drug by a number from 1 to 5 a being the most
17. another printer connected to the computer to avoid changing printer form each time you print an invoice delivery sheet shipping label or Rx label Upto three printers can be defined in the configuration of the Pharmacy Plus software to print simutaneouslly 7 PRINTING MED SHEET OR PHYSICIAN ORDERS Once to enter all the Rx for a given Nursing Home Facility you may request to print Med Sheet for all or select patients assigned to the Nursing Home Select Reports from the menu then Reports menu to print the Med Sheet or Physician Orders you will be guided throught the selection process by screen prompts a STANDING ORDERS OTHER INSTRUCTIONS You can enter orders or instructions that will appear on the upper right side of the Physician Order Sheet These orders are use by various facilities to remind staff nurse of patient activities special needs dietery orders etc The orders can be entered while in the New Refill Prescription screen Press the F7 key from within the patient information screen the F4 modify patient screen b OTC ORDERS OTC products are product where the NDC number has six digits or less and the type code in the drug file is O These products can be entered and will appear on the med sheet c NON DRUG ORDERS Non drug orders are adjustments credits or other product orders d DME ORDERS Durable Medical Equiptment orders can be entered to maintain a history of products 6 STATEMENTS
18. be retrieved by the price table number Price table data can be modified directly in the price table file screen A price table determines how the prescription price is calculated The price table works in conjunction with the Payment Plan Once a Payment Plan is selected while entering an Rx the price of the Rx can be calculated using the Payment Plans price table DEFINITION Table A unique number assigned by you that identifies the price table This number is then put in the payment plan file or the drug so that it can use the table to calculate a price Deser A description of the price table logarithm you are creating this is for your future reference Price base on The price in the drug file that will be used to start the calculation of the final price Mark up down A percent to apply towards the base price as defined by the price based on Specify a positive value to increase or a negative value to decrease Breakpoint is PRICE QUANTITY this is used to differentiate the two types of pricing strategies that can be used to calculate the final price A price structure based on quantity or price can be used to further refined the final price For example if the breakpoint is based on quantity you could setup a different mark up strategy for a quantity of 10 as opposed to a quantity of 50 Like wise if the breakpoint is based on price you could setup additional mark up strategies based on the price calculated to this point
19. information concerning the workers comp claim as follows 51 Pharmacy Plus Software Copyright 2006 Employer The employer of the injured patient Street The street address of the employer City The city of the employer s address St The state of the employer s address Zip The zip code of the employer s address Emp Phone The employers phone number CarrierlD A field identifying the workers comp insurance co usually provided in the insurance card form if not provided leave blank Injury The reference date of injury Claim Ref A description as to the type of injury i e back injury neck injury etc Emp SSN The social security number of the patient employee Bill to The name and address of the insurance workers compensation company you are billing Ins Phone The phone number of the insurance company you are billing Once the above information is entered it will be kept along with the patient s record so that you will not have to enter it again BACKING UP DATE AND TURNING OFF THE COMPUTER SYSTEM The most important task is to backup or copy your data Make a backup of your data on a daily basis and take it home Never turn off the computer before exiting the Pharmacy software The proper way to turn off your computer is to first exit the Pharmacy plus program This is done by selecting the QUIT option in the FILE sub menu or by pressing the Esc key f
20. re index you can COMPRESS your data to free up disk space by permanently removing voided Rx and other data flaged for deletion What type of reindex do you want to do ull ompress When you select the Reindex databases option from the menu the above screen will appear to provide a progress of the work being performed It is imperative that the computer is not turned off during this process Doing so may jeopardize your data Once done with the process you will be returned to the menu NOTE In the Reindex screen you are presented with three options Reindex Compress or Cancel Reindex will rebuild the reference files Compress will first remove data marked as deleted from the database reducing disk space requirements then rebuild the reference files Indexes There are ways of restoring deleted data as long as the compress option is not used 54 Pharmacy Plus Software Copyright 2006 Data Purge This function is design to remove inactive data from your system The Active flag in the Drug and Doctor file determines whether a record is active or inactive Prescriptions are considered inactive if the Fill date before the date your specify to purge and the Rx has been paid and has no pending refills Patients are considered inactive if they have no Rx in there profile Once your begin the purge process you will be asked if you want to automatically set Drugs and Doctors to active status answeri
21. recorded on every prescription the user creates and any activity they do Password The password that will allow the user access to the system License The pharmacist license number enter only if the user is a pharmacist this field is only used for your information Note In this screen you will be given a chance to specify the exact functions that each user will be allowed in 47 Pharmacy Plus Software Copyright 2006 Contacts A database of all your business relations can be kept here this is used to function like a Rolodex am Pharmacy Plus WSO la x ID Company Street City State Contact Phone 1 Phone 2 e ail Contact file ABC ABACUS SYSTEMS OF MIAMI INC 8000 S W 117 Avenue Miami FL Zip Orlando Alberro 305 220 0400 Ext 305 996 9066 Ext Orlando AbacusRx co Fax 33165 100 305 220 4900 Category Sli Notes BUSINESS ALSO SELLS HARDWARE Active DEVELOPERS OF SOFTWARE FOR THE PHARMACY Yes 1 ON FILE Esc F1 F2 F3 F5 J Menu Help Create Delete Find Edit Drug Utilization Review DUR Prospective Drug Utilization Review DUR encompasses the detection evaluation and counseling components of pre dispensing drug therapy screening The prospective drug utilization review system assists the pharmacist in these functions by addressing many different situations in which potential drug problems may exist DUR performed prior to dispensing hel
22. search by patients name Rx number or any field that will identify the claim you are looking for Nursing Home Med Sheets MAR This form is intended for Nursing Homes that require a Medication Administration Record MAR The MAR sheet can be printed for any period of time and list the medication indication and administration passing times Nursing Home Company List This report will list the Nursing Home patients in that home and the prescription drugs they are currently taking 38 Pharmacy Plus Software Copyright 2006 Nursing Home Rx Filled Delivery List This report will list the prescriptions to deliver to patients in a given Nursing Home sorted by the patients room number It can be used as a check list Nursing Home Statements This is generally used for billing nursing homes a statement of account is produce listing drugs filled as well as payments received Nursing Home Account Trial Balance This report is used to spot and manage overdue account It will give you at a glance account aging information as well as current balance due Physical Inventory Sheet This report is generally used to check your actual physical on hand inventory quantities and to make the appropriate adjustments in the computer inventory Refill Requirement Report This report is used to alert you of up coming inventory requirements based on future refills Inventory Received Report This report is used to list the inventory received the d
23. your formula to calculate the Rx price you can override the calculated price at anytime Press the PgDn key when you are done with the prescription and would like to enter another Rx or Save the prescription s entered Pharmacy Plus Software Copyright 2006 FA Pharmacy Plus WSO Generic 1234 S W 12 STREET Allergies 305 555 1212 a Safety Cap 92838727 Relation Cardholder Age 138328272221 Balance 173 0427 02 ZANTAC 150MG EFFERDOS perme j Enter the drugs NDC or name Press Shift Tab to change Payment Plan Fi 3 Help Remove You can continue to enter refill prescriptions There is no limit to the number of prescriptions you can enter on this screen If you need to return to a prescription to make a change simply highlight the Rx and press the Enter key to enter the Rx detail screen To save the prescription s press the F10 key Once saved you will be asked whether you want to transmit the claim i e to an insurance If you chose to transmit the claim will be sent to the third party as dictated by the payment plan A response is generally received in seconds after transmitting and will be automatically displayed on the screen See transmitting in POS mode Additionally you will optionally be asked if you are ready to print the prescription labels Once the Rx is saved printed the screen will be cleared and made ready for you to enter another patient s prescription s Tip The pre
24. 1 No Override 2 Override 3 Full time student 4 Disabled dependent 5 Dependent parent 6 Significant other PA MC Prior Auth Medical Cert 0 Not Specified 1 Prior Authorization 2_ Medical Certification 3 EPSDT 4 Exemption from Copay 5 Exemption from Rx Limits 6 Family Planning Indicator 7 AFDC Rx Origin Code 0 Not Specified 1 Written Prescription 2 Telephone Prescription Level of Service 00 Not Specified 01 Consultation 02 Home Delivery 03 Emergency 04 25 Hour DAW o No DAW Instructions 1 Physician specified 2 Patient specified 3 Pharmacist specified 62 Pharmacy Plus Software Copyright 2006 No generic available Rx Denial Override 0 Not Specified 1 No override 2 Override 3 Vacation supply 4 Lost prescription 5 Therapy change 6 Starter Dose 7 Medically necessary Basis of Cost 00 Not Specified 01 AWP 02 Local Warehouse 03 Direct 04 EAC 05 Acquisition Cost 06 MAC 07 Usual and Customary 08 Unit Dose 09 Other Person Code 01 General use member 02 Spouse 03 12 dependent DER Drug Grant Adjustment 1 Nursing Home 5 Terminally III 6 Dialysis 7 Diabetic 63 Pharmacy Plus Software Copyright 2006 Customer Location 00 Not specified 01 Home 02 Inter Care 0
25. 3 Nursing Home 04 Long term extended care 05 Rest Home 06 Boarding home 07 Skilled Care 08 Sub Acute care facility 09 Acute care facility 10 Out patient 11 Hospice Appendix A Glossary Drug Allergy Codes 01 Penicillins Cephalosporins Carbapenem Aztreonam 02 Glucocrticoids 03 Salicy lates NSAID Pyrazoles 04 Codeine 05 Morphine 06 Barbiturates 07 Tetracyclines 08 Phenothiazines 09 Macrolide Antibiotics 10 Aminoglycosides 11 Nitrofurans 12 Meperidine Fentany1 13 Carbarnazepine Tricyclic Anti depressants 14 Hydantoins 15 Thiazides Sulfonamides Sulfonylureas Bumetanide Furosemide Carbonic Anhydrase Inhibitors 16 Heparin 17 Acetaminophen 18 Allopurinol 19 Benzodiazepines 20 Isoniazid Niacin Ethionamide Pyrazinamide 21 Insulins except human 22 Zanthines 23 Oxycodone 24 Pentazocine 25 Propoxiphene 26 Quinidine Quinine 27 Pyrimethamine 28 TetanusToxoid 64 Pharmacy Plus Software Copyright 2006 29 Iodine includes radiopaque agents containing lodine 30 Clinidamycin and Lincomycin 31 Probenecid 32 Papaverine 33 Hydralazine 34 Beta adrenergic blockers 35 Chloral Hydrate 36 Folic Acid 37 Anticholi
26. 9 68 PCS Esc Escape By pressing the F6 The Refill key we can view and or refill prescriptions or partial quantities remaining To select a Prescription press the Enter key Once you have selected all the Rx from the pending refills the Rx information will be summarized On a refill practically all of the information is already filled including any price adjustments since the last fill However you can always change any information Once you are done entering prescriptions refills press F10 key to save and print your work Note Original is the date of the original Rx Refilled is the date of the last refill Price is the price changed on the last refill RL is the number or Refills Remaining a in this column represents unit quantities pending F7 SUBSTITUTE You can request to see all substitutes of the drug highlighted by pressing the F7 key or if the drug selected is a BRANDED drug the system will ask if you would like to see a list of substitutes available The substitute list contains inventory on hand quantity and comparables as a percent of savings against the drug you had originally selected F8 SWITCH Use the Switch key F8 to quickly switch to work with another patient while you are in the middle of entering prescription s Two switch options are available as follows 1 You can request to view another patients history This can be used to quickly answer a patients question b
27. BAUNZ 30 28 32 25 PES 1027 O 2 05 03 2003 ZANTAC 150MG EF ABAUNZ 30 59 68 30 PCS indicates refills pending E Expired D Discontinued Esc F4 F5 Fs a a Cancel Help Prt Rx Fax Dr ChgRef R Select Once displayed there will be a few functions available to you shown above at the bottom of the screen as follows 1 F4 You can print a prescription label by highlighting an Rx and pressing the F4 key 2 F5 You can print a refill authorization request in order to fax to a physician 3 F7 You can sort the list of prescriptions by the drug name date or the Rx number 4 F8 You can change the number of authorized refills remaining quantity or set a date when the Rx should be discontinued i e not to appear in the active refill list 5 F9 Request to see more detailed information about the Rx Rx notes or a view print a Monograph 6 Enter Make a copy of the Rx this is a time safer when dispensing a new Rx similar to one already on file a copy is made of the prescription assigned a new Rx number and places you in edit mode so that you can make any changes you want OF make a change to a prescription currently highlighted Field definition Rx number the number assigned to the Rx A prescription number is always suffixed with a hyphen and a reference number The reference number indicates that it is an original Rx 0 or a number indicating the refill Date the date the Rx was fille
28. Name prompt you can also enter a patient number Insurance card number prefixed by the number of one of the patients Rx prefixed by only the patients last name only the patients first name prefixed by a or a partial name i e Smi J to locate the patient by name Pharmacy Plus Software Copyright 2006 Once the patient has been selected information about the patient will be displayed shown below along with critical information on the right and notes FA Pharmacy Plus WSO Ss o x SMITH JOHN O O Generic 1234 S W 12 STREET Allergies 305 555 1212 Safety Cap 92838727 Relation Cardholder Age 138328272221 Balance Press Shift Tab to change Payment Plan The first column on the middle left part of the screen is the PLAN field for payment plan this indicates how the prescription is going to be paid i e C Cash M Medicaid A On Account or by an Insurance co The Payment Plan code defined in the patient s file will be the default Now you are ready to enter prescriptions first enter either the NDC number or drug name a full or partial drug name of the medication you are filling If you entered a Drug name you will get a list of all the drugs with a similar name use the up down arrow keys on the list box to highlight the desired drug Press Enter to select the drug Once you select the drug the system will inform you of problems and or suggestions conce
29. PHARMACY PLUS USER S MANUAL Rev 4 04 Pharmacy Plus Software Copyright 2006 Table of Contents Chapter Description Page I Star UD rinra adsl eae SEENE visa kos side oes avs seca ae sian vee ees Intruduction to the software and other information II Quick Stal coocseccigadees ca cacancsaw tie can esas Ataweedeneov EEEE OASE a How to enter Refill Modify or Void a prescription Il Inquire and Pranster sing so ccssisisis sides ocisuan ses sien ccows ce sieiess coseatices sien sdesses ss How to lookup information on a prescription Entering information on a Rx Transfer from or to another Pharmacy Moving a Rx to another patient Reprinting labels Quoting an Rx price Viewing and recalling voided Rx IV Monographs and Interactions cscccscccssccscccsccccsscesccccssccsccescces Patient Counseling Monographs Drug Warnings Drug Interactions amp Drug allergy V Billing Insurance Medicaid Medicare Workers Comp Compound Transmitting Billing to Third Party Billing Medicaid Billing to Medicare Compound drugs Workers Comp VII Accounts Receivables Inventory Pricing cccsccsscesccccssccssccsscees Accounts Receivables Inventory Control Prescription Pricing VI RRO OTIS sists ses aii a eee Sahin sd Sia sists wins da Go lies Ghd Geass oa Shela Cenas IX Data Files Configuration ccccccsoccsccscscccsccsccccssccssccsccccesceseces Data Field definition Security Configuration Re ind
30. R system Submitting incorrect days supply information in the days supply field can cause false DUR messages or claim denial for that particular claim or for drug claims that are submitted in the future Responding to a Drug Utilization Review DUR Upon transmitting a prescription claim the processor will review the complete patients history regardless of where the medication was dispensed and will alter you of any conflicts interactions duplications over or under uses At times you will be required by the insurance company Medicaid to respond to DUR tell them how you intervene to resolve the DUR in order to have the claim adjudicated When you go back to the claim or modify a claim that has been rejected due to a DUR The system will ask if you want to respond to the DUR and will provided you with a screen for you to enter your response on what you did and what was the results Pharmacy Plus WSO 8 x Generic Yes rug ew re If this Rx was rejected because of a iene Utilization Review conflict you will need to inform the processor of your action or research that lead to a resolved conflict Enter below the conflict code you received from the processor and a code that indicates how you resolved the conflict TO SELECT FROM A LIST OF CODES LEAVE THE CODE FIELD BLANK AND PRESS THE ENTER KEY Why was this Rx rejected by the processor How did you intervene What was the outcome of your intervention Enter prescript
31. Use for oral contraceptives Note Do not collect a copayment 05 Indicates vitamins or phosphate binders prescribed for dialysis patient 06 A7 day trial quantity is required to be dispensed and the recipient is otherwise required to pay a copayment This only applies to recipients who have not received the medication previously Note Do not collect a copayment 07 Indicates the recipient is pregnant and age 2 or older and no copayment will be collected Note All other recipient groups who do not require a copayment will be systematically determined Do not use a 07 for these recipients 08 Indicates in house unit dose packaging to enable the claim to be paid at an increased amount STATUS CODES Unbilled 66 Pharmacy Plus Software Copyright 2006 B Billed uncollected P Claim Adjudicated Payable E Patient is Eligible Claim not sent K Eligible Claim Captured C Claim Captured R Claim rejected X Reverse an Adjudicated Claim PD Claim paid in full all monies collected NA Not Applicable take no action Field definition Pay Plan the usual default payment method used by the patient i e Cash House account Insurance Medicaid Relation A code used by insurance companies to indicate the relationship of the patient to the cardholder Person A code used by insurance companies to indicate dependent number this number is usually the two num
32. When a claim adjudicates and has a P claim payable status the claim will appear on your next remittance voucher in the Paid claims section This response returns with an Authorization Number Ingredient Cost Paid Contract Fee Paid Total Amount Paid and the Copayment Amount The Ingredient cost Paid plus the Contract Fee Paid which is the dispensing fee Minus the Copayment Amount will equal the total Amount Paid Claim Captured Response When a claim is submitted for a recipient that is not eligible for Medicaid the claim will reject for with a code of 250 or 271 Please reference Appendix C for a description of the rejection codes If the recipient has a valid proof of eligibility for the date of service then you may enter an Eligibility Override Code in the claim transaction and the claim will be captured This means that the claim will appear on the Remittance Voucher in the Suspended claims section Claims suspended for eligibility exceptions will be retained automatically by the Processor for 60 days or until the recipient s eligibility as your proof in case the claim eventually is denied Note If a claim rejected with a code 250 or 271 and the recipient does NOT have a valid proof of eligibility The Processor instructs that you do not provide the service do not use the Eligibility Override Code and refer the recipients to their case worker Duplicate Claim The information returned on a Duplicate Claim response con
33. abused When creating a new drug it is important to have the correct code in this filed This will allow the computer to check if the doctor has the required DEA prescriptions written with this drug will be categorized as controlled a C and the controlled category number will follow the Rx number controlled prescription will be printed in the controlled drug report Product Whether it is a prescription only drug an OTC item or any other item This is generally use for your information Equivalent A short description of an equivalent drug generally used to identify the Name Brand of the drug Table Optionally you can enter a Price Table to use in calculating a price for a given drug This table will only be used if the payment plan you are using is referred to the drug for the correct price table to use Taxable Whether tax applies to the drug item If so the percentage is specified in the payment plan MedPays Whether the drug is in Medicaid s formulary as being covered If you specify NO here and you use a Medicaid payment plan when you dispense the drug you will receive a warning on the screen Supplier The name of the company you normally purchase from This is used only for your information FYD Order code The code the suppliers use to identify the product when an order is placed Manufacture the laboratory manufacture of the drug item This is only used for you information when se
34. ate quantities your cost and item information You can also request this report is summary form by month Drug Report This report list your entire drug inventory and can be limited to print only the drugs you carry or have dispensed Patient Report This report list all patients you have on file and can be limited by the patients category payment plan or a zip code range Patient Labels This report will allow you to print labels for a group of patients Doctor Report This report list all doctors you have on file and can be limited by a zip code range Signa File This report will list all the Signs and indications on your life Payplan Pricing Strategy This report will list all the insurance companies currently in your system and optionally your pricing strategy Files Use the file option to manipulate or view information about patients doctors drugs sigs payment plans pricing tables nursing homes companies users or contacts All of the screens under the file menu work in the same way The screen is composed of two parts a selection list index of names in our example patients and on the left detailed information on the one highlighted The following are the basic options found on all of the files screen 1 Creating a record To add a subject to the file press the F2 key 2 Editing information To change any information on a subject already on file press the Enter key 39 Pharmacy Plus Software Copyright
35. ate the Price based on the Acquisition cost your cost R Calculate the Price based on the Retail price of the drug The price can be marked up or down from the above base by a percent factor entered in the MarkUp Dn price by field To mark up enter a positive percent or a negative percent to mark down Example If you want the price automatically calculated based on the AWP less 12 enter an A in the Calculate price based on field then enter 12 in the MarkUp Dn Price by field Assuming the AWP is 23 54 for 30 tablets and we are dispensing 30 tables the calculation will be done as follows Price Awp Awp 12 the package size the number of units dispensed 31 Pharmacy Plus Software Copyright 2006 20 71 23 544 23 54 0 12 1 Goto Table If you enter a Table Price Table and the calculated price falls in Break Point then a different Price Table will be used to calculate the Rx price Dispense fee You can define up to nine levels for calculating a Dispense Fee the levels are based on the price calculated above and can either be a percent of the calculated price of a flat fee Minimum total price is the minimum sale price for the Rx The CoPay is the amount the patient is required to pay under the plan either a flat amount or a percentage of the total Pricing Table database Whenever a price table is created the data is stored in the price table file Once stored the price table can
36. bers after the patient s card number Group A number assigned by the insurance companies to classify the patient as a participant in a given group schedule Sometimes processors use this field to indicate the specific insurance the patient is enrolled in Medicaid DER A code used by Medicaid to confirm that the patient continues to be exempt from the basic cap limit of 6 Rx per month Drug Exemption Request A Drug Exemption request form is sometimes requires to be filled and submitted to Medicaid in order form the exemption to be granted 67 Pharmacy Plus Software Copyright 2006 Trouble Shooting PROBLEM No dial tone or a hissing is heard on the phone line SOLUTION There is an interference that is causing this to occur usually caused when the phone is off the hook or another device fax is answering the same line The quickest way to resolve this problem is to turn off the computer then back on follow the above instructions on doing this this will reset the computers modern causing it to hangs up the line If the problem continues check the phone line by installing a regular phone on the line and listen for a dial tone PROBLEM Computer is asking you to do a re index SOLUTION This is generally caused when the computer has not been turned off correctly and can lead to serious problems if the procedure on turning off the computer is not adhered to Follow the screen prompts and perform a re index PROBLEM C
37. claims that have been transmitted to more than one payer will be displayed Note Care must be taken when entering the PayPlan code PayPlan codes can be used to filter certain prescriptions from showing on the statement If payment was received from a Facility ensure that the patient has the same Facility code on their file 26 Pharmacy Plus Software Copyright 2006 Itemized payment entry Note You must stick to one type of payment eniry itemize or not itemized payment eniry Enter the date range or the prescriptions you are paying this is useful for automatic posting If you answer Y to Automatic post payment to open claims the computer will pay all Rx within the date specified that have not been completely paid until the payment amount entered is satisfied Enter a Y in the Show claims previously paid field all paid and unpaid Rx within the date range will be displayed this is used for returns or credits After you enter the above criterion the following screen will appear Pharmacy Plus WSO la x Plans PCS PCS Washington 1061 06 04 2006 38 72 PCS Washington 1062 06 04 2006 18 38 0 00 0 00 0 00 Use the arrow keys to move or Enter to post payment Esc F1 F7 F10 4 Exit Help Sort Done Post Shown above is the itemized entry screen Here you define how the payment is to be distributed posted against the individual prescriptions If the amount posted against a Rx is
38. d dispensed to the patient Description the name of the drug or compound dispensed Doctor the prescribing physician DQty the quantity that was dispensed to the patient Total The total price of the Rx includes the ingredient cost dispensing fees and discounts Days The number of days supply dispensed to the patient PP The payment plan code defines the carrier Insurance company Medicaid etc being billed St the billing disposition of the prescription i e Billed or Not billed to the insurance Tip If you are going to dispense a new Rx that is similar to one already dispensed in the patient s profile you can request to copy the Rx by selecting it from the history with the Enter key Pharmacy Plus Software Copyright 2006 F6 Processing Refills Select the New Refill Prescription option from the menu FA Pharmacy Plus WSO Last Rx Generic e cripti Doctor c Total Days PP St 1008 0 3 02 20 2003 BACITRACIN 500U ABAUNZ 15 6 03 8 PCS 1009 0 3 02 20 2003 COUMADIN 5MG TA ABAUNZ 30 28 32 15 PcS 1027 O0 2 05 03 2003 ZANTAC 150MG EF ABAUNZ 30 59 68 30 PCS Next to Wext te eat Rx indicates refills pending a aia ated D Discontinued EJ a EA EA Ea EJ EJ EA Rx EA Dr EA lentar EA sete A refill is a prescription that has been authorized to have a number of repetitions refills The system creates a refill by copying the information from
39. dispensed to a recipient When returning the prescription to stock transmit a reversal transaction This quick and simple transaction allows you to easily remain in compliance with Medicaid regulations prohibiting the submission of claims for services not actually provided Note You can only submit one reversal per transactions If an error occurs and the reversal rejects you will receive an appropriate rejection code and you will have to resubmit the reversal Please note that the rejected reversal will not appear on your remittance Viewing the POS Adjudication Log To view the results of any transaction submitted in POS Point Of Service mode select the POS Adjudication Log report from the report menu The POS log will be kept indefinitely FA Pharmacy Plus WSO Pharmacy Plus version 2002 3 97f CPQ56574797792 0 Reports menu View today s POS Copyright c 2002 Abacus Systems of Miami Inc 305 220 0400 Locate and select the POS Adjudication log report Enter the month and year to view and select the first option DONE to view the report When in the log viewer you can search for a particular claim by pressing the F5 and entering the text you want to search for Press the F6 key to print the page you are viewing 20 Pharmacy Plus Software Copyright 2006 Accounts Receivables Payments entry The Pharmacy Plus software does not replace an accounting system However we have some si
40. doctors telephone number Phone2 Another telephone number where the doctor can be located DPR The doctors state license number Issued by the Department of Professional Regulations DPR DEA The doctors certification to prescribe controlled substances Issued by the Drug Enforcement Agency DEA UPIN The Universal Physician Identification Number usually used for billing DME Medicare claims Notes Any comments you want to keep to remind you about the doctor Active Indicates whether the doctor have prescribed medications to any of your patients The system automatically puts that doctor in active status when ever you fill prescriptions prescribe by the physician 42 Pharmacy Plus Software Copyright 2006 Drug Inventory database Whenever drug is created the data is stored in the drug file Once stored the drug can be retrieved by either the NDC or the Drug name Drug data can be modified directly in the Drug file screen screen on the right or in the Rx claim entry screen amp Pharmacy Plus WSO NDC number Drug name LIPITOR 80MG TABLET Type LIPITOR 8 MG TABLET Pkg Size AWP Form Active Updated 09 23 2005 LIPKOTE STICK LIPMAGIK LIQUID LIPO SIMILASE 276MG CAP DEA class Table Your Cost Formulary Product Federal Legend Qty On Hand Equivalent Min Inv Taxable Max Inv Supplier Order code Expire Days Manufacture sold Category sold Honograph L
41. e a prescription to another patient used when a Rx was entered under the wrong patient F9 will allow you to view all the electronic billing POS in detail hat has ccurred within the day Enter to see more detailed information about the Rx Rx notes or a view print a Monograph Field definition Rx number The number assigned to the Rx A prescription number is always suffixed with a hyphen and a reference number The reference number indicates that it is an original Rx 0 or a number indicating the refill Date The date the Rx was filled dispensed to the patient Description The name of the drug or compound dispensed DQty The quantity that was dispensed to the patient Total The total price of the Rx includes the ingredient cost dispensing fees and discounts Auth Ref The authorization number given by the insurance company when the claim has been adjudicated Days The number of days supply dispensed to the patient PP The payment plan code defines the carrier Insurance company Medicaid etc being billed St The billing disposition of the prescription i e Billed or Not billed to the insurance F4 Reprinting a prescription By pressing the F4 key you can reprint the highlighted prescription as many times as you want This is generally useful for aligning the Rx label or re printing a prescription label 13 Pharmacy Plus Software Copyright 2006 F5 Transferring
42. e negative adjustments by entering a negative amount i e 50 00 The payment history can remain indefinitely and may be viewed at anytime by pressing F5 while in the payment entry screen 23 Pharmacy Plus Software Copyright 2006 A R Bill to location and Co Payments You can bill invoices and statements to the patient a Facility or a Guardian You can specify this option by the Bill AYR to field Entering a P for patient N for Nursing Facility O for Other person Guardian If you want to bill the patients co payment as an Accounts Receivables you must enter a Y in the A R Copay field To do this select a patient from the New Refill prescription screen press F4 to view patient information press F5 for Billing Information the following screen will appear amp Pharmacy Plus WS1 o x Bill A R To i Ship To A R Copay Old Medicaid Credit Limt Medicaid DER Discount Credit card Auto Refill CC exp date Statement Alert Rph Override code eMail SSN Card Holder Enter the igs ND name shiftj Tab to change Payme t Plan Es PgDn Cancel Help Done If A R Copay is Yes then Co payments are automatically placed in the patients transaction register Payments made by patients can be entered via the Payment entry screen Company Payment Entry Here you can enter modify or view payments received from an Insurance Company Facility or a Famil
43. e takes seconds A claim can be transmitted when creating or making modifications to a claim Claims that have not been billed will be transmitted for a Payable response and claims already paid can be transmitted to reverse the process i e Make a Correction or void 17 Pharmacy Plus Software Copyright 2006 A payable response from a processor will contain the amount the claim will be paid and the authorization number among other fields This will not only inform you that the claim is payable by the processor but also the amount that will be paid and the amount you should collect as co payment If the claim is rejected you will receive a message indicating the reason for the rejection and any action the needs to be taken If transmitting via modem once you elect to transmit the claim a box will appear in the center of the screen This box will inform you of the communication status No action is required on your part at this time Some of the status messages are Opening communications Dialing Communicating with Host Transmitting claim s Host acknowledged Receiving response Closing communication NLO OT CONS What is third Party Adjudication On line adjudication means that a transaction is processed entirely through the claims processing cycle in real time and a response indicating the claim is payable captured duplicate or rejected is returned to the pharmacy within seconds of submission and while the cus
44. e treated like a workers compensation insurance claim This type of claim requires more input from the user and will be explained in subsequent chapters Maximum Rx claims The maximum number of claims that the insurance company accepts at a time some limit 1 Rx at a time other allow a maximum of 4 claims Alternate transmission path this is used to transmit directly to the insurance company if the insurance is capable of receiving and processing your claim Users database Users are pharmacist technicians authorized to use the program at your Pharmacy Different sections of the program or functions may be restricted by the use of the security option Whenever a user is created the data is stored in the user file Once stored the user can be retrieved by the user User data can be modified directly in the User file screen screen on the right Pharmacy Plus WSO la x User Name Street HERE USER City St Zip HERE USER Phonel HERE USER License HERE USER IDH HERE USER RPH HERE USER Technician HERE USER Password HERE USER HERE USER Notes Security Enabled HERE USER HERE USER HERE USER HERE USER 1 LE Esc F1 F2 F3 F5 Henu Help Create Delete Find Edit User A number assigned by the computer when the record is added This number is then used by the user to sign on the system Name The name of the user allowed to access specified functions in the system Initials The initials that will be
45. efills coming up but the patients remaining Rx limit balance Medical HCFA 1500 FORM This report will print a bill in the HCFA 1500 format HCFA 1500 forms are required To order call MOORE BUSINESS FORMS at 800 634 7341 Universal Claim Form This form is used for billing insurance companies that are not equipped to handle electronic claim transmissions Worker s Comp Form This form is used for billing insurance companies that are not equipped to handle electronic worker s compensation claim transmissions Statements to Patients This is generally used to bill accounts receivable House account patient s A statement is produce for patient see Accounts Receivables for more information Optionally you can also request to print a patients trial balance Drugs Prescribed by Doctor This report will print all drugs prescribed by a doctor for a given period of time Drug Utilization Report This report list all or a given drugs utilization listing the patient it was given to and indication It can be requested for any given period of time Patient Rx Card This report gives you a snap shot of a prescriptions filled for a patient in a given period It shows amount authorized and status Prescription Labels This option will allow you to print prescription labels within a selection criterion i e date range POS Adjudication Log This report can only be viewed on screen but will list all claims transmitted and replies you can also
46. ent resides St The state where the patient resides Zip The zip code where the patient resides Home The patients home telephone number Work The patients office telephone number DOB The date of birth of the patient in the format MM DD YYYY Four digit year but can be entered as 2 digit year DER The Drug Exception Request DER number assigned by Medicaid to except the patient from a limit of 6 Rx per month Payplan The default most common payment plan this patient will use Sec The sex of the patient Group The number of the patient 40 Pharmacy Plus Software Copyright 2006 Card The insurance card number usually the patients social security number Relation The relation of the patient to the card holder i e spouse child Language The language the counseling and sig information is to be printed in for this patient Old Med The 10 digit Medicaid number user prior to the insurance of the new gold card number Medicaid will only accept the old number if transmitting in batch mode Medicare The number used to bill Medicare used with optional reports and DME modual NHome The code of the Nursing Home Company or Family this patient is associated with used for billing purposes Safety caps An indication of whether the patient wants safety caps on the medication or not default is Yes Generic An indication of whether is okay to give the patient a generic substitution
47. escriptions must be for the same recipient 2 The additional prescriptions must be for the same date of purchase Example If you have filled 6 prescriptions for 1 recipient you would have to complete 2 transactions one with 4 prescriptions and the other transaction with 2 prescriptions 18 Pharmacy Plus Software Copyright 2006 Use of eligibility Override An eligibility override code is required in the claim transaction as an example when you have a valid copy of a temporary proof of Medicaid eligibility such as a 2014 form This claim will remain in suspense for up to 60 days until the eligibility file has been updated If the eligibility file is updated your claim will be adjudicated on the next remittance voucher If after 60 days the file is not updated your claim will be denied and shown on your remittance voucher Payment Cycle All processors are different but generally all claims are processed by 7 00 P M on Friday night All claims adjudicated during the week will be included on the Remittance Voucher which accompanies the check mailed the following week Claim Responses Each response status is explained in detail in the sections which follow For multiple prescription claims the Response information Section is repeated for each prescription There may be a combination of paid captured duplicate and rejected prescriptions when an acceptable transaction is submitted for multiple prescriptions Claim Payable
48. ess of the date filled F8 Moving Rx to another patient Press F8 to move a prescription from one patient to another This should only be used when the incorrect patient was entered and a prescription was created You will be allowed to do this only if the prescription has not been transmitted the status is blank unbilled If the prescription was transmitted and payable by the processor insurance co then you must transmit a reversal before the Rx can be moved to the correct patient F9 Transmission Log This is a detail log of all claims transmitted on a given day The log is kept for 31 days there is also a summary claim log that is kept indefinitely to view the claims transmitted during the day press the F9 key from the Inquire Print Transfer screen and the screen on the left will be displayed with the details of each claim that was transmitted along with the results When viewing the transmission log report you can locate or print a given Rx by using the F5 FIND key and the F6 PRINT key 14 Pharmacy Plus Software Copyright 2006 Rx price Quotation While working with any function in the Pharmacy Plus software you can quote prices on any drug and comparable drugs by pressing the Alt Q key or by selecting the Rx price quotation option from the menu FA Pharmacy Plus WSO Oo x Pharmacy Plus version 2002 3 97 E ei PQ56574797792 0
49. exing X End of Day Processing cccccsccscscccsccsccccssccscsccssccsssccsscessccsees Printing daily reports Backing up data and turning off computer Updating Drug prices XM Appendix sissies sneda sorene sia a a ssndeans Pharmacy Plus Software Copyright 2006 Introduction The Pharmacy Plus System Offers a complete software solution for your pharmacy The system includes the ability to manage your daily prescription processing control the day to day operations of drug dispense management with full inventory control user security intuitive editing patient s history accounts receivable and claim adjudication via on line electronic transactions Overview Once the information is stored it will remain on the system indefinitely or until you purge delete it We can optionally pre load your computer system with a complete file of doctors drugs and insurance plans this will save you time by not having to create them As you create or modify prescriptions the Patients Doctors Drugs Sigs and Insurance plans used to make the prescription are linked together to form a relation Once stored information can be looked up by name description or number for example a patient or an Rx can be located by name patient number or Rx number A drug can be located by Description or the NDC Initial setup CUSTOMIZE SOFTWARE This software can be customized at any time to fit your needs This is accomplished via the Conf
50. g when getting price updates for a previous period you must make sure you retrieve all the updates after that period as well 2 You can request to have the system change the NDC of drugs that had a change of number 3 You can request to have the system alert you of any price change greater than a certain percent which you can To get price updates select OK and press the Enter key In a few moments the computer will call and retrieve the period you have requested Once the new prices have been retrieved the system will update your inventory and allow you to print a list of all the drugs updated 53 Pharmacy Plus Software Copyright 2006 Reindex Use this function to rebuild the reference files used to quickly find information on your database This function will repair any damaged reference file as a result of the computer being turn incorrectly or when a file becomes corrupted a file can become corrupted if the computer is turned off while your database is being used If left corrupted these reference Index files can cause loss of data Care must always be taken when a computer is turned off Make sure you have exit the software prior to turning off the computer if ever in doubt use the Reindex option to rebuild the files once you return to the program amp Pharmacy Plus WSO l 8 x Type of reindex A reindex will review your data and correct most problems automatically In addition to a FULL
51. gets initialized for that day F10 SAVE By pressing the F10 key you will save the prescription s to the computers hard disk You must press this key to save your work because while you are entering prescription s the information is being stored in a work area of the computer s memory not saved This way you are able to back out without saving and or assigning a prescription number Pharmacy Plus Software Copyright 2006 When you save the prescription s a Rx number will be assign to all scripts that require it it saves all the prescriptions entered update accounts receivables and inventory Once saved the prescriptions will be transmitted and then the Rx label and any other requested form will print Modifying a Prescription To make a correction to a prescription that has been saved select the Modify Prescription option from the Prescription menu FA Pharmacy Plus WSO x en SS Enter nat o find Enter below the Rx number to retrieve or enter the patient s name or Invoice number to get all the patient s Rx done at the same time or leave all fields blank to get a list of the last prescriptions done or on hold Rx Number Patient s name Invoice i Line UL YOUR NAME HERE USER 1 Enter either the Rx number or the Patient s name to retrieve F1 Cc zel Help Select Any prescription can be recalled by entering its Rx number If other Rx exist with the same number such as refill
52. he Price Table to be used in calculating the Rx price You can link a Payment Plan insurance file to a price table so that when a Payment plan is used the price of the prescription will be determined by the price table that was linked to it To link a Payment plan with a price table Once the Price table has been created go to the Payment Plan file under the File menu then locate the desire Payment Plan by the F5 find key When the payment plan is found press the F4 key for Price Payment Plan Cash Sale Descr Cash via OmniLink Catalyst Rx ntrus ntury Medical H ampus Med Matri ampus via ARGUS oice Rx ng He you can specify how the EAA will be priced Use the default table to calculate price What is the usual dispensing fee Discount what percent of the total Add on a tax percent of Get co payment from patients profile gna Health Care aims Pro lumbia Pharmacy mmunity Medical mmunity Prescri mmunity Rx mplete Health I mplete Pharmac alternate ission path No 186 0N FILE Is there an transm Esc F1 F2 F3 F F5 Henu Help Create Delete Price Find Edit Answer No to the first question following screen will be displayed Use the default table to calculate price and press the PgDn key the 33 Pharmacy Plus Software Copyright 2006 Payment Plan Cash Sale Descr Cash via OmniLink BIN EMDEON Plan ID Catalyst Rx Custom pricing ntrus In order to customize t
53. he price calculation for ntury Medical H this plan you must first create a Price Table ampus Med Matri that specifies how the price is to be calculated ampus via ARGUS oice Rx Enter below the price table number to use when gna Health Care computing the price of a brand or generic drug aims Pro or enter to use the Table defined in the drug lumbia Pharmacy mmunity Medical Table used to calculate price for a BRAND mmunity Prescri Table used to calculate price for a GENERIC mmunity Rx Group pricing mplete Health I mplete Pharmac there an alternate transmission path No 186 ON FILE CE Esc F2 BS A 3 Menu Create Delete Price Find Edit Here is where you can link the Payment Plan to the Price Table enter the Price table you want to use for Branded drugs and Generic drugs and press PgDn when done to save The Price Table number links the payment plan with a Price Table I e it will use the pricing strategy under the designated Price Table A different Price Table can be entered to calculate Brand drugs different than Generic drugs GROUP PRICING Optionally you may enter Group pricing This is pricing based on the Form code of the drug or the drug name LINKING A DRUG TO A PRICING TABLE You can set each or a group of drugs a specific Price Table you want to use to calculate the prescription price This is done by entering the Price table number in the Drug as follows First locate the Drug by selecting
54. ical pharmacy should allow for at least 2 hours of computer down time Upon completion of the purge you will be returned to the menu To completely free up disk space you should do a reindex in compress mode 55 Pharmacy Plus Software Copyright 2006 Configuration The configuration screen is used to tailor the software to your needs There are several features that can be turned on or off at your discretion This screen can be found under the Utility menu Once you select to configure the system you will be asked to confirm your request by supplying a password The password is ABACUS Enter the password and press the enter key amp Pharmacy Plus WSO 8 x System configuration 0 1 ABOUT YOUR PHARMACY ME Passport code Federal ID Medicaid provider number 800 603 1714 EMDEON Terminal ID 800 333 6869 Pharmacy ID Qual Number 480 477 1000 Medicare provider number o 803 788 9751 Your pharmacy name Your address Your city state amp zip Your telephone number OUT AUTOMATIC NUMBERING Are patient automatic What s the next Patient IMPORTANT DO NOT CHANGE Are Rx numbers automatic ANY AUTOMATIC NUMBERS IF What s the next Rx number OTHER USERS ARE LOGGED ON What is the next Doctor What is the next Invoice ao sano an B 9 De e Esi FI Exit Help Pg 2 Then you will be presented with s
55. ields as follows Compounds When you enter a name here the system will recognize the Rx as a compound Most insurance companies want you to bill them only the most expensive NDC of all the components and change the description and price to reflect the compound Workers comp claim This type of claim requires more information to be filled when entering the claim Date written The date the Rx was written by the Physician This date is used to determined the expiration date of a prescription Rx number override This is used to change of assign a Rx to the prescription Prior Auth MC Prior authorization Medical certification code This code is generally given after an Rx is rejected by the processor of the claim to allow you to override a restriction they may have Issue an Rx Number Indicates whether or not an Rx number should be assigned on a new Rx Other payor amount Used to indicate when a patient has two insurance companies how much the first one has paid towards the Rx Level of Service Future use to indicate what type of service was given i e emergency home delivery Basis of cost Indicates how the Rx price has been derived Payment authorized The amount paid and authorization code of the claim by the processor More fields are available if you press the F8 key again 50 Pharmacy Plus Software Copyright 2006 am Pharmacy Plus WSO lal x Modifying prescription Invoice 4 03z
56. ig codes can be concatenated while entering the directions on the use of the medication This is optional but it may save you time by creating sigs that match the physicians sig codes on the Rx For example a physicians writes TAKE TWO CAPSULES AT IPM FOR TWO MONTHS However each code will have to be created separately in the Sig file 45 Pharmacy Plus Software Copyright 2006 Payplan database Payplan are the Insurance carriers accepted by your Pharmacy A record of each insurance must be created before you can transmit a claim to the carrier Only four 4 insurance fields are necessary to transmit to an insurance as follows amp Pharmacy Plus WSO 8 x Payment Plan Ined HHO Descr InsuRx Systemed BIN EMDEON Plan ID Inteq PCN InterChange PMP IPA Amerisource Street JMH Health Plan City St Zip John Alden Phone Liberty National Fax Manage Care Enter eMail Managed Pharmacy Contact Managed Prescript Admin Hanagement Care Comments Hed Impac Special inst Medicaid DME Is this a workers comp insurance Medicaid of Flori Ese FI F2 F3 4 F5 F6 F Menu Help Create Delete Price Find SetKmt Set DR Edit Payplan A unique code the you assign to an insurance company medicaid cash or accounts receivables This code is later assigned to prescription claims for billing purposes Deser A description of the insurance company Plan ID A number also called a BIN assigned by Envoy corp to
57. iguration preference screen The software initially comes preset with the most used settings However it is a good idea to review the settings in the Configuration prior to using the software for the first time see customizing in chapter 9 Unless stated otherwise no additional preparation is necessary to begin using the software DATA ENTRY There are two ways of populating your database 1 You can create it as you are filling the prescription in the prescription entry screen the most common or 2 You can enter them all at once using the mass entry process under the File menu Inventory This system can optionally track your drug inventory quantity on hand and acquisition cost The system is equipt to receive inventory track your unit cost and adjust the on hand as prescriptions are entered modified or voided In addition minimum and maximum quantities can be entered at the drug level to produce Purchase Orders based on sales or shortages Your true cost can be obtain from your distributor and imported into the system Accounting Accounts receivable can be maintained for any patient and optionally for Facilities Companies Family group or consignee Once prescriptions are entered with an accounts receivable payment plan the patients will accumulate a corresponding open balance As payments are received they will be entered into the system to reduce the patients balance Invoices and or Statements may be printed at any t
58. ime Reports Over one hundred different configured reports can be generated and viewed on the screen or printed by this software Pharmacy Plus Software Copyright 2006 General Information Keyboard Throughout the manual we give instructions to skip to the appropriate field moving or skipping to a field without erasing other information on the screen in done by using the TAB or ARROW keys The up arrow hey moves you to the previous field the down arrow key moves you to the next field gt The SHIFT KEY and the TAB key are used together to move the cursor backward to a previous field gt The arrow keys can be located in two different places depending upon your keyboard They are either located on the numeric keypad or between your keypad and your regular keyboard gt FUNCTION KEYS are frequently referred to throughout this manual These keys are used to complete specific functions Function keys are the F1 through F10 or F12 again depending upon your style of keyboard keys gt The PRINT SCREEN key is used to print the information that is on your screen This function may not work under Windows gt Pressing the ESC key also called the Escape key to cancel whatever you are doing gt The HOME or END key will take your cursor to the first field on the screen This is useful for quickly moving around the screen gt The INSERT and DELETE keys are used to remove or insert a character within
59. in the same therapeutic class as a previously filled drug The prospective DUR system searches previously paid claims within the previous six weeks from all participating pharmacies for this problem type 48 Pharmacy Plus Software Copyright 2006 6 Drug to drug interactions Drug interaction alerts occur when a drug is filled that may interact with a previously filled drug within the previous six weeks from any participating pharmacy Only the most Clinically significant drug interactions have been chosen from the prospective DUR system 7 Drug age contraindication Drug age contraindication alerts occur when a drug is dispensed that is not recommended for us in the age group of the patient Age alerts can occur when the patient is too old for the given medication is too young for the medication or is not within the normal age range of the medication 8 Drug pregnancy contraindication In drug only environments where diagnosis is not available pregnancy is implied by the use of a prenatal vitamin by a female between the ages of 12 and 45 Drug pregnancy contraindication alerts occur when a drug that is not recommended for use during pregnancy is filled within six week of a prenatal vitamin 9 Excessive quantity Excessive quantity alerts occur when a quantity is billed which is outside of normal dispensing parameters for a given XX days supply Days Supply Days supply information is critical to the edit function of the prospective DU
60. ion entry screen 4 HOA DEFAULTS You can define the usual Hours Of Administration for a Nursing Home in the Nursing Home record this default will be displayed in the HOA field of every new prescription You can also limit the times you want to appear in the HOA by specifying the time slots in the Sig file EXAMPLE OF HOA Problem A Nursing Home has the standard HOA of 8am 10am 2pm and 5pm A medication as been prescript BID twice a day Solution Enter the standard HOA in the Nursing Home record as the Default HOA Then enter the time slots in the BID slot 1 and 4 This will cause the default HOA for a BID Rx to be 8am and 5pm 59 Pharmacy Plus Software Copyright 2006 TIP You can also enter or change a HOA on the Rx to skip a time slot on the Med Sheet type a For example if you want 8am to print on slot 1 and 5pm on slot 4 of the Med Sheet type the HOA as 8am 5pm To print 10am in slot 2 and 5pm in slot 4 type the HOA as 10am 5pm 5 INVOICES DELIVERY SHEET An Invoice or Delivery Sheet can be printed for each patient upon saving the prescriptions You should have another printer connected to the computer to avoid changing printer form each time you print an invoice delivery sheet or Rx label Inoices Delivery Sheet is avalilable for batch printing within the Reports menu 6 SHIPPING LABELS If you mail order a shipping label can be printed upon saving the prescriptions You should have
61. ion info AWP 6 00 Acq 0 00 Remaining Qty 0 000 Esc F1 PgDn Cancel Help Done You will be responding to a DUR with codes by leaving the field blank you will be given shown all the applicable codes and description of each code The first field identifies the DUR rejection code you received i e Therapeutic duplication The next code identifies what you did to resolve the problem i e contacted the physician and the last code identifies the resulting action i e you filled the prescription with a different dosage 49 Pharmacy Plus Software Copyright 2006 Other fields Available for Rx Claim On occasions when transmitting claims to third parties you may need to respond or provide additional information on a claim Such as Compound medication workers compensation prior authorization and the like To enter more information for a Rx press the F8 key while in the Rx detail entry screen shown on the right B Pharmacy Plus WSO la x Generic Yes cri Compound name Rx number override Prior Auth MC Issue an Rx number Coupond type Discontinue Rx on Coupond amount Diagnosis code Other claim type Basis of cost Other claim amount Prescription orgin Prof Service fee Rx denial override U amp C Charge Remaining Rx Qty Payment authorized Enter prescription info AWP 6 00 Acq 0 00 Remaining Qty 0 000 Esc Fl F8 Cancel Help Page 3 Here the F8 Rx page 2 screen you will be presented with more f
62. it will display the reason why the interaction was caused along with research references In addition the system will also check for a drug to allergy conflict and will alert you if any are found The above check can be done on request F9 or automatically when you save the prescription To have the system automatically check for interactions on save turn on this option with in the Configuration preference screen under Utility In order for the system to detect a conflict between drugs both drugs must have a Monograph number on file If you add a new drug to the system the system will put the interaction number when you get your AWP price updates Patient Monographs inform the patient on the prescribed medication two type of monographs are available a short and a long version when printing an Rx label The type of monograph that print will depend on the type of label you are using In order for monographs to print there must be a monograph number on the drug s file Initially all drugs in the system will have interaction and monograph number But when you add a drug to the system you must make sure to put a monograph number if you want to print a monograph right away or you can wait and receive the monograph number when you get the AWP price updates Transmitting Rx Claims You can electronically transmit Rx claims to any insurance company via a modem or the Internet The entire process of transmitting the claim and receiving a respons
63. ix screens with features that can be turned on or off The most important entries found on page are The Medicaid Provider number The Pharmacies NABP number The Emdeon Terminal ID The above fields allow you to transmit claims to the insurance and Medicaid The rest of the options are self explanatory Word processor Use the word processor to write a simple letter or document you want to print and or store for future reference Once you select the option from the menu you will be shown a list of documents you have already saved for future reference 56 Pharmacy Plus Software Copyright 2006 am Pharmacy Plus WSO le x List of letters Description of letter Esc F6 lt Exit Print Select 4 03z The documents are listed with the name you have gave them when you stored the document Use the Up and Dn arrow keys to locate and retrieve a document or select NEW the first option to create a new letter or document Next you will be presented with either a blank screen to begin writing your document or the document you have requested as shown on the right Here you can type or make any changes to your documents then save it by pressing the F10 key or print it by pressing the F6 key To cancel with out saving your document press the Esc key am Pharmacy Plus WSO Word processor Description of letter Erase It has been brought to my attenti
64. lection a given drug Active An indication of whether any prescriptions have been filled with the drug This is usually used to purge inactive drugs or to filter out from a list drugs that are not active see only the drugs you carry in your inventory Qty Sold The quantity of units sold since you last set it to zero This is FYI and can be used to measure any period of time Last Sold The date the drug was last dispensed in your pharmacy Category The clinical categorical group of the drug FYI Used to verify coverage Route The normal method by which a drug is administered The current range of descriptors include oral topical injection etc Monograph A number that refers to the monograph English or Spanish that relates to the drug This number is automatically updated with the price updates Interaction A special number that clinically ties drugs together to identify interactions conflicts allergies etc This number is automatically updated with the price updates Pharmacy Plus Software Copyright 2006 Sig database Sigs are directions on how a drug is to be administer When ever a Sig is created the data is stored in the Sig file Once stored the Sig can be retrieved by either the Sig ID or by an excerpt of the directions Sig data can be modified directly in the Sig file screen screen on the right or while in the Rx claim entry screen amp Pharmacy Plus WSO 4 gt Signa BIDAC Direction
65. less than the billed amount you will be allowed to enter an adjustment up to the remaining balance on the amount billed 21 Pharmacy Plus Software Copyright 2006 amp Pharmacy Plus WSO a x Post View payments received amp 03z Reconciling payment against open claims Itemize payment Enter below payments or adjustments to apply against Rx Patient George Washington Rx 1062 HALDOL 0 5MG TABLET Billed 18 38 Authorized 16 87 Paid 7 Adjustment l Co Payment Copay Paid 0 00 Write Off Balance Count 2 Billed total 57 Bee ieee F7 F10 Exit Help Sort Done Post The above screen will be displayed on every posting to allow you to further itemize the posting Most insurance payment will be below the amount billed here you can specify a write off or the balance pending As you post payments to each claim the status will change to PD indicating the claims has been paid amp Pharmacy Plus WSO x Post View payments received 4 03z Reconciling payment against open claims Plans PCS Home Plan Patient Rx Nbr Date Billed AuthAmt Cost Paid DUR ST PCS Washington 1061 06 04 2006 38 72 0 00 13 79 13 13 PD Esc Fi F7 F10 Exit Help Sort Done Post 28 Pharmacy Plus Software Copyright 2006 Once you have posted the entire amount received the bottom of the screen will change color and display RECONCILED
66. menu select Inquire Reprint Transfer Rx This option will allow you to Re print a Rx label Print or view the prescription history of a patient Document the transfer of a Rx from or to another Pharmacy Move a prescription from one patient to another View voided or Archive prescriptions Rx that have been purged from the system by your request View only prescriptions rejected by an Insurance Medicaid View only prescriptions on hold i e Rx that have a dispense quantity DQty of 0 not dispensed View the last 500 Rx done Sort the prescription s displayed by the drug date or Rx number 10 View the prescription s with replies on transmissions to Insurance Medicaid 11 View or print Drug monographs for a prescription displayed OONDPAN 11 Pharmacy Plus Software Copyright 2006 You begin by either entering an Rx number or by selecting the patient by name to get a list of all the Rx dispensed to the patient FA Pharmacy Plus WSO ol x Enter the Rx num ocate or the Patient s name to list all Rx dispensed to a patient Leave both fields blank to display the last 500 Rx filled Select Voided to view Rx that have been deleted Select Archive to view Rx that have been removed from the Rx file and archived via the Purge option Select Rejected to view only rejected POS claims View voided Rx View from the Archive Show only Rx rejected Show only Rx on hold
67. mple accounting functions you can use The Accounts Receivables module allows you to track balances owned by patients or Institutions You will be able to enter Accounts Receivables Invoice Post payments against items paid and send Statements We begin by establishing an Accounts Receivable Plan code PayPlan code in the Payment Plan file Accounts Receivables plans are identified by a Payment Plan code starting with A Once a A R Payment plan has been established and prescriptions have been entered You can begin to post payments To enter a payment select Pos View payments from the menu and the following screen will appear Pharmacy Plus WSO la x Here you can post payments received from patients House accounts or from Insurance Processor Nursing Home Facility or Company accounts The payment can optionally be posted to open claims Rx not paid the process is called Reconciliation and it is used to balance payment with outstanding claims IS THE PAYMENT FROM A PATIENT OR A COMPANY Bompany Bancel Esc F1 4 Cancel Help Select You are given the option to post payment received from a Patient or an Institution Patient payment entry 21 Pharmacy Plus Software Copyright 2006 amp Pharmacy Plus WSO Patient Phone Date Descr Itemize Audit trail Date Esc F1 F5 Cancel Help Hist Balance Amount Reference Payment Plan transactions RefN
68. n Rx price can be automatically calculated by the computer base on your predetermine criterion A price calculation criterion can be set at the Payment Plan or Drug level For example you may want to have the computer calculate the Rx price of a given Payment Plan based on the AWP plus a 20 mark up plus a 6 25 dispensing fee and you may want certain drugs to be calculated based on a different formula You begin by first creating a pricing table with the formula you want to use To create a pricing table select Pricing table from the File menu then press F2 to create amp Pharmacy Plus WSO l a x Table 25 Description Start with wp f 0tyZ AC MarkUp Dn before pricing by Breakpoint is li Price m Pricing 7o Ke Mark Breakpoint Up Dn Fee Table i a 3 4 2 6 ie 8 2 MarkUp Dn after pricing by Esc F1 Cancel Done Help A formula will be used to calculate the price of the prescription when either a Payment Plan or a Drug is selected In our example above we created a formula that will calculate the price of the prescription based on the AWP Average Wholesale Price plus 20 and we also set breakpoints based on the price calculated the calculated price is compared to the Breakpoint when the price is within the range the price will be further marked up or down based on the formula entered on the same line as follows 1 If the price calculated is below
69. n the drug aims Pro lumbia Pharmacy Table used to calculate price for a BRAND O mmunity Medical S Table used to calculate price for a GENERIC PO mmunity Prescri Group pricing No mmunity Rx mplete Health I Is there an alternate transmission path No Esc 2 F3 Fa F5 lt Menu Help Create Delete Price Find Edit You can do this by entering 0 in the Table of the above screen Note If a discount percent is entered the Rx price will be reduced by the discount after the price has been calculated by the Price Table 35 Pharmacy Plus Software Copyright 2006 Workers Compensation Claims Workers compensation claims can either be transmitted on line or printed on claim forms However this type of claim requires you to enter more information A screen for entering the additional information required for workers comp claims can be found by entering a Y in the field Is this a worker s compensation claim and pressing the PgDn key If you have defined the payment plan you are using as a workers comp payment plan in the PayPlan file Y will be the default Reports Hundreds of different report variations can be produced for viewing on the screen or printing using the report function Each report can be customized to your particular specifications by using the report selection screen FA Pharmacy Plus WSO x Controlled Drug Report Patient Rx history POS Reconciliation Rpt Billi
70. nergics 38 Methyphenidate 39 Nitrogen Mustards 40 Doxorubicin 41 Asparaginase 42 Skeletal Muscle relaxants Carbumates 43 Dantrolene 44 Rauwolfia Alkaloids 45 Methyldopa Methydopate 46 Local Anesthetics amide type 47 Local Anesthetics Ester type 48 Local Anesthetics Unclassified 49 Opioid Narcotics other 50 ACE Inhibitors 51 4 Aminoquinolones 52 Primaquine lodoquinol 53 Chloramphenicol 54 Hetastarch 55 Iron Dextran 56 Immune Serums 57 Deferoxamine 58 Vaccines 59 Gold Salts 60 Haloperidol Appendix A Glossary DEA 0 No control 1 LSD Heroin Marijuana Research only 2 Morphine Meperidine 65 Pharmacy Plus Software Copyright 2006 Amphetamines etc Most abused 3 Aspirin Codeine etc Less abused 4 Valium etc Potential abuse 5 Controlled Sale by pharmacy only CERT CODES 01 The prescribed drug on the prescription is listed on the Florida Negative Formulary 02 Prenatal vitamins and contraceptives such as foams gels and condoms Use Cert Code 04 for brand name oral contraceptives Note Do not collect a copayment 03 Amphetamines or other anti obesity drugs are prescribed for a diagnosis or therapy other than weight control ex narcolepsy hyperkinesis 04 Drugs that are both medically necessary and used in relation to family planning
71. ng Yes to this question will force the computer to review every prescription done to date and set every drug and doctor used on these prescriptions to active status WE RECOMMEND THAT YOU ANSWER YES Note You will then be asked if you have made a recent backup of your data The purpose of this message is only to remind you to make a backup prior to purging data Once data is purged only your backup will contain the purged data Once you answered the previous question the screen shown below will appear Here you will specify exactly what you want deleted amp Pharmacy Plus WSO l a x Please select the type of data you want to permanently remove PURGE ALL INACTIVE DOCTORS No PURGE ALL INACTIVE DRUGS PURGE ALL RX FILLED PRIOR TO ARCHIVE PRESCRIPTIONS PURGED PURGE PATIENTS WITH NO RX PURGE DECEASED PATIENTS No Is the above selection correct Hes lo To make a change to any of the selections answer No to the question Is the above selection correct If you have requested to purge a range of prescriptions and select to archive the prescriptions being purged The purged prescriptions can be viewed at anytime via the Inquiry screen Once the above questions are to your satisfaction answer Yes to begin the purge process you will be asked to confirm by entering the command PURGE The time required purge data varies greatly on the amount of data that needs to be reviewed but a typ
72. ng Verification Rpt Sales Profit Analysis Sales by Payment Plan Sales by Drug Rx Refill Reminder Prescription Report Rx Transferred Notes Payments Received Report Refill Register Report Medicaid DER Request Potential Medicaid Sales tLocate the desired report with the arrow Insurance Claim Report L keys Press the Enter key to select Esc Cancel Ip Once you select the desired report you will be asked to enter the range of data you want to see a Selection criterion for example you may want to only see a certain date range of information To enter a selection criterion move the highlighted bar to the selection Field of interest and enter the value you want and continue this process until all selections have been made When you are done with the Selection screen select the Done option and press the Enter key Note A sample of how the report looks of the highlighted report will be displayed on the Top Right box 36 Pharmacy Plus Software Copyright 2006 Reports This software has been designed to work with up to 3 printers attached to each computer or terminal at the same time and each printer can have its own unique form However blank paper reports are always sent to printer number the printers and forms can be configured under the Configuration option under Utilities The following is a list of reports available via the Report Menu each report can be requested based
73. o yosted Description Enter the patients name Last First then press enter Proceed to enter the following Descr a description of the payment Amount the amount of the payment Reference check number NAMAWNS Date the Date the check was received 22 Itemize enter Y if you want to post the payment against prescriptions entered Payment Plan The payment plan you are posting a payment to Pharmacy Plus Software Copyright 2006 Phone Balance Date Amount Descr Reference Itemize Payment Plan Next press PgDn to save your data entry If you have elected to Itemize the transaction or you press F5 the following screen will appear A BEE Patient Patient 1068 ANDERSON Date RefNo Description 05 22 2003 PREVIOUS BALANCE 389 82 07 24 2003 1034 0 COUMADIN 10MG TA 39 19 429 01 08 11 2003 1035 O A 200 LICE TREAT 14 75 443 76 08 11 2003 1036 O B COMPLEX 100 TA 7 60 08 20 2003 12345 Payment Thank yo 32 00 419 36 Press Enter to itemize change or void a payment or an adjustment F1 Cancel Help Edit To itemize payment highlight the prescription and press Enter to edit a payment highlight the payment and press Enter Note An account receivable claim is denoted by a payment plan that begins with the letter A For example a payment plan of A Al AB are all recognize as account receivable claims You can also mak
74. ocation LIPOCHOL CAPSULE LIPOCHOL CAPSULE LIPOCHOL PLUS TABLET LIPOFLAYONOID CAPLET LIPOFLAVONOID CAPLET LIPOFLAVONOID CAPLET LIPOFLAVONOID CAPLET LIPOFLAVOVIT CAPLET LIPOGEN G CAPSULE LIPOIC ACID 100MG_ CAPSU 73 800 ON FILE Unspecified Fl F2 F3 Help Create Delete Find NDC The National Drug Code an eleven 11 digit numeric code that represents the drug The NDC is broken into three parts the first five 5 digits of the number is the laboratory where the drug was made the next four 4 digits represent the laboratories drug code and the last two 2 digits is the drugs package size Drug name The label name of the drug on file this is a combination of the drug name appearing on the package label the strength description and the dosage form description Type The type of drug GENERIC BRAND MULTISOURCE OTC This is used by the system to check against the patient profile Form The dosage form by which the drug is administered Descriptive terms include tablets capsules cream etc PkSize The package size in metric quantity used to derive unit price It is the usual labeled quantity from which the pharmacist dispenses Strength A short description of the drugs potency in units of grams milligrams percent etc In specific instances strength may be described in MG per n ML where n is greater than one to correspond to the manufacture s description Strength is expressed in metric units This field is
75. of all the Nursing Home can be kept here As with all files the same convention is used 1 Press F2 to create a new Nursing Home record Press F3 to delete a Nursing Home record Press F5 to locate a Nursing Home by name or code Press F7 to display accounting history Press the Enter to change information meN FIELD DEFINITION NHome A code up to 3 characters that represents the Nursing Home Company or Family group This code is assigned by you Name The name of the Nursing Home Company or Family group Street The street address City The city where it resides St The state where it resides Zip The zip code where it resides Phone The telephone number Fax The facsimile telephone number Contact The personal contact at this location Provider The facilities provider number for your information not currently used elsewhere in the software Doctor The file number of the doctor that is normally prescribing medication at this facility When ever you are filling prescriptions for a patient that is in this facility the default doctor will be the doctor who s file number matches this one Category The facilities category Usually used for reports to limit the reports to only a certain category Passing times The usual times medication is administer at the facility This is only the default and can be overridden when the prescription is being filled You can specify up to 5 different times b
76. omputer locks up freezes SOLUTION Many factors contribute to this situation and the problem can be very difficult to locate Although if this problem is frequent it may indicate either a problem with memory or not enough memory you may need to add memory to the computer If you were entering a date at the time check that the date is correct One quick way to resolve this problem is to turn the computer off refer to the procedure on turning off the computer Anything you were working on at the time will be lost and you may need to do a re index PROBLEM The Arrow keys do not work SOLUTION This is generally caused when something has struck the keyboard on the Scroll Lock key when the computer was performing a key operation However this problem can be corrected by re booting or turning of the computer system PROBLEM Strange characters appear on the screen SOLUTION Either your computer is infected by a virus or it needs more memory However in most situations you may continue to work without occurrence PROBLEM The screen in blank SOLUTION Either the screen saver has turned off your screen or no power is going to your monitor Check power switch or cord PROBLEM Boot disk failure SOLUTION The computer s system information has been damaged the operating system must be reinstalled Call a technician PROBLEM Failure reading writing to drive C SOLUTION This may be a complex problem to solve generally becau
77. on a more specific criterion for example You can request a Sales by drug report for the period 06 01 2006 to 06 30 2006 and to list only sales of plan M and only for nursing home ABC Daily Prescription Log This report summarizes all the prescription done during the day It is generally produced on a daily basis at the end of the day Controlled Drug Report This report summarizes the controlled Il Ill IV and V drugs done during the day It is a generally produced on a daily basis as required by government agencies Patient Rx History This report also referred to as the IRS report is used to provide a given patient with a list of drugs purchased during a given period of time Billing Status Report This report is generally used to reconcile with statements issued by insurance companies It can also be used to list the status of POS transmissions or as a guide when you need to report revenues POS Reconciliation Report This report is generally used to reconcile with statements issued by Medicaid It can also be used to list the status of POS transmissions The only difference from the above report is that it is sorted by patients name Insurance Claim Report This report is used for billing insurance companies that are not equipped to handle electronic claim transmissions Sales by Payplan This report is used to summarize by plan the sales volume amount and profit for a given period of time Sales by Drug
78. on how to resolve the conflict All the prescriptions dispense to the patient will be displayed If more than one page of information is displayed use the up down arrow keys to scroll within the list F9 INFORMATION Monograph Patient Counseling Patient Counseling monograph can be viewed or printed on request or automatically for each new prescription To view a monograph for a given prescription highlight the Rx in the prescription entry screen or in the patient history screen then press the F9 key A printed sample of a monograph follows Tip Full page patient counseling leaflets can automatically print for new prescriptions if this option is set in the configuration screen Monographs can also be viewed or printed from the drugs file the price quotation screen or from the Inquiry Print Transfer screen F9 INFORMATION Caution You can request to view drug cautions drug allerts and allergy conflict at anytime by pressing the F9 key or you can optionally select to have drug cautions displayed to you for all the Rx entered when you save the prescription s with the F10 key Note an allergy conflict can only be displayed if you have entered the patient s allergies in the patient profile F9 INFORMATION Daily POS Log You can request to view in detail all the ECS Electronic Claim Submissions responses The Log is kept by the system for 31 day Every day when you turn on your system the POS log
79. on that your account is seriously past due Your current balance includes a day past due amount of The lastpayment posted to your account was received on To avoid the transfer of your account to a bad credit status we ask that you clear up your past due balance immediately Line 1 Column 1 a x 4 032 Esc F6 Exit Print You can also print out a document with out viewing it by pressing the F6 key 57 Pharmacy Plus Software Copyright 2006 Nursing Homes optional module To beging to work with the Nursing Home Module you must first create a record of the Nursing Home facility Then place the patients on the facility by assigning the Nursing Home to the patient in the patient information screen 1 CREATING A NURSING HOME RECORD From the Pharmacy Plus menu select File then select Homes Facility The screen will apear to allow you to create edit or delete a Nursing Home record 41 Pharmacy Plus WS A LOVIN PLACE 102 A LOVING PLAC 103 A LOVING PLAC State Zip 104 ABBEY ROAD HO Fax 105 ADAM HOME CAR Contact Phone 106 ADAMS RETIREM Provider Category 107 ADIS FAMILY H Dr Name Doctor 108 ADRIANA DURAN 109 ADULT FAMILY Balance 110 ADULT FAMILY Last Paid Amount paid 111 ADYS FAMILY Statement Statement Amt 112 ALAMO S HOME Open Credit 113 ALL AMERICAN Hours of Administration Default 114 ALPHA OMEGA H 115 ALZHEIMER S D 116 AMACARENA ACL A database
80. ps pharmacist ensure that their patients receive appropriate medications This is accomplished by providing information in the dispensing pharmacist that may have been previously unavailable Because the prospective DUR system examines claims from all participating pharmacies drugs which interact or are affected by previously dispensed medications can be detected Prospective DUR recognizes that the pharmacist uses his education and professional judgement in all aspects of dispensing Prospective DUR is offered as an informational tool to aid the pharmacist in this professional duties The nine potential therapeutic problems that the prospective DUR system detects are as follows 1 Overutilization Overutilization alerts occur when a prescription is refilled before 75 of the previously filled prescription s days supply has elapsed 2 Underutilization Underutilization alerts occur when patients have waited to refill their maintenance medications beyond the specified days supply of the previously fill 3 Excessive daily dose Excessive daily dose alerts occur when the calculated milligrams per day of a drug exceeds the recommended daily dosage 4 Insufficient daily dose This type of underutilization occurs when the calculated milligrams per day of a drug are less than the lowest recommended dosage 5 Therapeutic duplication Therapeutic duplication alerts occur when a drug is filled within a specified time period that is identical to or is
81. re than one pharmacist at your Pharmacy entering prescriptions or if you need to secure your computer system by Password protecting functions against unauthorized users This works in conjunction with the Users file option under the file menu 15 Pharmacy Plus Software Copyright 2006 FA Pharmacy Plus WSO PHAR Prescription Management Software Version 3 97f Ctm Developed by Abacus Systems of Miami Inc Miami Florida USA 305 220 0400 HE You can also use the Sign on screen without the security option to track the initials of the person entering the Rx and or to have there initials appear on the Rx label To sign on enter your user ID a number assigned by the computer when you create your user profile and your assigned password If the correct password is not given in three attempts you will be signed off the program will end Tip Your user profile including password user id security clearance to functions and your name are stored in the User file 16 Pharmacy Plus Software Copyright 2006 Drug to Drug Conflicts and Patient Monographs FA Pharmacy Plus WSO prescriptions HIPAA Generic Yes 12345 S W 45 STREET Allergies 304 323 3422 Safety Cap Esc Fi v Cancel Help Info The Drug Conflict Interaction check will alert you of any conflicts between medication in the current patient s regimen history of active prescriptions If a conflict is sited
82. rning your selection and the following screen will be displayed to allow you to enter more information on the prescription NOTE 1 _To get to the PLAN field from NDC Drug name field press the Shift Tab key If you don t know the payment plan code leave this field blank and a list of available plans will be displayed 2 _A new drug can be added by entering the new NDC number of the drug under the NDC Drug name field 3 The F keys at the bottom of the screen inform you of functions that are available on the screen you are on For example If you need to modify the patient information Client press the F4 key The F keys will be explained later Pharmacy Plus Software Copyright 2006 The screen below is displayed once the drug has been selected it is used to display detailed information about the drug as well as collect information concerning the prescription and fees associated with the prescription FA Pharmacy Plus WSO Generic Yes Enter You begin by entering the physician doctor that prescribed the medication To locate enter one of the following the Doctor s name in the same format as with locating the patient Last First State license DPR or doctor s DEA number If the doctor is not on file you will be asked if you want to create it If you entered doctor s name a list of doctors with similar names will be displayed Use the up and down arrow key
83. rom the menu As you exit from the program you will be asked is if you want to print the reports now The reports printed are the Control Drugs The prescription log and The prescriptions voided log To print the reports select Yes and press Enter Remember Backup your files frequently we recommend backups on a daily basis AWP Price Update Updated Awp prices may be obtained on a weekly or on a monthly basis via modem or the Internet From the Utility menu select Get the latest AWP prices Use this function to update your drug inventory prices with current prices The entire process is automatic and generally take 5 15 minutes to complete 52 Pharmacy Plus Software Copyright 2006 amp Pharmacy Plus WSO l l 2 x Here you can obtain the latest AWP f drugs that had a price change during the period you are requesting Your AWP prices are current as of the last day of April 2006 Get all updates that occurred on May 2006 Change drugs NDC if different N o Confirm changes greater than 1000 Adjust Retail to AWP change No Add new drugs to your drug file No Is the above information correct es o You have three options when requesting price updates which can be tailored to your specific needs by selecting Edit 1 You can request price updates for a specific year month and week this is useful if you forget to update the prices for a previous period Warnin
84. s in English BIDH BIDPC BIDPRN BIDPRNP Directions in other language GTTBIDOD GTTBIDOS GTTBIDOU GTTQ4H Oty Dose Doses Day GTTQDOU GTTOQIDOU GTTQIDOU2W GTTTIDOD Print on Med Sheet Time Slot GTTTIDOS GTTTIDOU iz 93 ON FILE Esc F1 F2 F3 F5 Henu Help Create Delete Find Edit Signa A code that represents the full directions on file this code is generally created by the user along with the directions However there is a complete database of Sigs already created that can be made available upon your request Directions The directions on how to take the medications Directions can be entered in multiple languages so that by only entering the signa sig code the appropriate directions can be printed on the prescription label base on the patients language Qty Dose The quantity per dose that the directions specify Since the computer can not actually read what you type in the directions we need to specify the quantity per dose here so that it can work in conjunction with the Doses per day field to automatically calculate the days supply regardless of the dispense quantity for you when you are filling a prescription Dose Day The number of times this medication is to be taken during the day This field works in conjunction with the Quantity per dose field to automatically calculate the day supply regardless of the dispense quantity for you when you are filling a prescription Note S
85. s or the original you will be given a list of all the refills and asked to select the one you want to change You can also request to modify a group of prescriptions done at the same time for a given patient or you can request a list of the last 50 prescriptions done from which you can select Tip A groups of prescriptions done at the same time for the same patient will have an invoice number Also called a group or ticket number assigned to them and you can use this invoice number to locate the group Voiding a Prescription Voiding deleting a prescription is used to remove the Rx record from the patient s history and from the sales history But only if the prescription s have NOT been approved for payment payable by the insurance company otherwise you must first reverse the Rx prior to voiding A record of the voided prescription s can be viewed or printed at anytime until you compress the database files Voiding a prescription will credit the inventory and the patients account A prescription can be voided by entering either the Rx number the patients name or the Invoice number If more than one of the same Rx number is on file i e a refill you will be given a list and asked to select the one to void 10 Pharmacy Plus Software Copyright 2006 FA Pharmacy Plus WSO lolx Enter nat Ine Enter below the Rx number to retrieve or enter the patient s name or Invoice number to get all the patient s Rx done at the
86. s to highlight the desired doctor Press Enter to select the doctor Next you continue to fill the rest of the information about the prescription such as the quantity prescribed P Qty the quantity you are dispensing D Qty the number of authorized refills the sig and the days supply refer to the appendix for a detailed definition of each field In our example above we entered the date we filled the prescription a prescription quantity and the authorized number of refills and the Sig code some of these fields are automatically filled by the system NOTE Sig or Signa codes are used as a short hand to keying long Rx directions Directions are stored on file and later retrieved by the Sig code For example Take one tablet daily will be displayed in either English or Spanish depending on the patients language when Sig code QD is entered For unique directions you can omit the Sig code and just enter the directions or you can concatenate Sig codes to combine two or more directions and form a sentence To concatenate Sig codes enter the Sig codes in the Sig line prefixed by a space and a For example QD PRN will concatenate two Sig codes QD and PRN to form Take one tablet daily as needed for pain You set the system automatically default to the last sig used when dispensing the drug see Configuration The Rx price dispensing fee discounts tax and total price are automatically calculated based
87. same time or leave all fields blank to get a list of the last prescriptions done or on hold Rx Number Patient s name Invoice 4 Line ul YOUR NAME HERE USER 1 Enter either the Rx number or the Patient s name to retrieve Esc Fi Cancel ie lp Once you enter the Rx number or select the Rx the patient information along with the selected prescription s will be displayed You will then be asked to confirm if you want to void the prescription s If you answer yes the prescription s displayed will be voided and you will be returned to the menu Note Only Rx that have a status of Unbilled or have been reversed can be deleted patient s name If you elect to search by patient name a list of invoices an invoice is a one or more prescriptions filled at the same time for the same patient will be displayed once the patient has been selected At which point you can select the invoice you want by pressing the Enter key Inquiring Printing Report Label Transferring Prescriptions Prescriptions can be stored and maintained for an indefinite amount of time This software has been engineered with the latest relational database technology and is capable of storing accessing and managing over two 2 billion active prescriptions and over two 2 billion inactive prescriptions You are only limited by your hardware Once stored a prescription can be viewed at any time via the Inquire Print Transfer function From the
88. scription and printing an Rx label Prescription Processing When you select the New Refill Prescription option from the menu the screen shown below will be displayed From this screen you can enter information about a new patient fill new prescriptions refill active prescriptions display the patients Rx history view notes about the patient or Rx and much more F1 Pharmacy Plus WSO Enter the Patient s Name or Patient or Card number or Rx number We begin at the Name prompt Here you will enter the name of the patient in capital or lower case letters you are dispensing the medication s to The correct format when typing the name is to enter the atient s last name a comma and the patient s first name i e Smith John If the name entered is not on file you will be asked if you want to place the new patient on file If you misspelled the name you will have the opportunity to re enter the name at the prompt If you enter a name that is on file a list of patient s that match the name entered will be displayed The correct patient can be selected by pressing the Enter key or use the up or down arrow keys to move within the list to select the correct one When a patient has been selected information about the patient patient allergies health condition or a special comments about them is automatically displayed on the top of the screen NOTE f you don t know the patients complete name at the
89. scription entry screen has many features available they are always listed in the boxes at the bottom of the screen we will learn more about them later F4 Modify Patient Information Client To change any information on the patient s currently selected press the F4 key The all the patient s information demographics will be displayed in two pages The second page can be displayed by pressing the F8 key In addition to changing the patient s information you can also make a copy of the patient s information to create a new patient by pressing the F2 key under the patient file screen You can also record or view notes on the patient by pressing the F9 key F5 Patient History A patient history or profile can be viewed while in the New Refill prescription screen or Modify prescription screen or Inquire print or transfer screen or under patient files To view a patient s history from the New Refill prescription screen Select the patient as explained under entering a new Rx then press the F5 key to display the history All the prescriptions dispense to the patient will be displayed If more than one page of information is displayed use the up down arrow keys to scroll within the list Pharmacy Plus Software Copyright 2006 FA Pharmacy Plus WSO Generic e Description Total Days PP St 1008 0 3 02 20 2003 BACITRACIN 500U ABAUNZ 15 6 03 8 PCS 1009 0 3 02 20 2003 COUMADIN 5MG TA A
90. se your data may be at risk This is caused by either a virus a bad hard disk a bad controller card damaged system BIOS or CMOS Do not use the computer and call a technician immediately PROBLEM Waiting for server to come on line SOLUTION The main computer is either not active or the network software has not been activated or your experiencing a cable problem Follow the steps on correctly turning on computer network PROBLEM Number on the key pad do not work SOLUTION Press the Num Lock key located on the upper right hand corner of the keyboard to set the numeric key pad to numbers PROBLEM Printer is printing old report 68 Pharmacy Plus Software Copyright 2006 SOLUTION In a network the computer spools all the requested reports to memory and prints them as the printer becomes available To remove reports from the spooler you need to be familiar with the network spooler One quick way to solve this problem is to let it complete the printing of all the request reports PROBLEM A working message has been on the screen for a while SOLUTION Check to see if a hard disk in use light is flashing on your computer If it is wait until completes its work if it is not monitor the light for 5 minutes if no light flashes then follow the steps on turning the system off then black on 69
91. ship to the insured person Employer The employer s name or school name of the insured person Insurance The insurance plan name or program name of the insured person Accident Indicates whether the patient condition was related to a current or a previous employment E an auto accident A or other type of accident O Other Ins Indicates whether the insured person has another health benefit plan 41 Pharmacy Plus Software Copyright 2006 Doctors database Whenever a doctor is created the data is stored in the doctors file Once stored the doctor can be retrieved by either the DPR DEA or Name Bl Pharmacy Plus WSO la x Doctor AARON HARRY Name L F M AARON JAMES Street AARONS JONATHAN City ABAD FERNANDO State Zip ABAD ROSEMARTE Phone Phone2 ABAD VINCENT eMail Fax ABADAL RAFAEL ABADIA ANTONIO DPR NPI ABADIER RAFIK DEA ABADIN ARMANDO UPIN ABAE MICK Other ID Location ABALLI ARTURO ABALOS ALHAMBRA MARABE Specialty Notes Active 57 841 ON FILE Esc F1 F2 F3 F5 Henu Help Create Delete Find Edit Doctor A number that represents the doctor on file generally issued by the computer but can also be manually entered Name The name of the doctor Last name first coma first name Street The address of the doctor City The city where the doctor resides St The state where the doctor resides Zip The zip code where the doctor resides Phonel The
92. t against prescriptions This way you will know which prescriptions have not been paid NAMARWN 25 Pharmacy Plus Software Copyright 2006 4 amp Pharmacy Plus WSO 5 x Esc Po Nursing Home Facility Received check from Plan Date Specify how far back to review open claims and whether to automatically post the payment to open claims lee Only list claims billed to Plan Only post to claims Filled from Only post to claims Billed from Automatically post payment to open claims Show claims previouslly paid Post only to secondary insurance claims F1 PgDn Cancel Help Done Next you will be show the above screen In this screen you will limit the Prescriptions that will be displayed to post the payment to as follows L 2 3 Only list claims billed to Plan this are all the payment plans that are paid by the check Only post to claims filled from you can limit the prescriptions by the date filled Only post to claims billed from used to limit the prescriptions by the date on the insurance reconciliation date range Automatically post payment to open claims if you want the system to automatically post the payment to prescriptions for you the prescriptions posted will be displayed and you will have a chance to make corrections before saving Show claims previously paid generally used reverse a payment on a previously posted claim Post only to secondary insurance claims only
93. tains the same information displayed on the original paid claim response The only difference is that the duplicate response will contain a duplicate claim rejection code If a 101 102 103 and or 143 rejection code is present in the response then this indicates it is a duplicate claim and another similar claim has already been paid by Medicaid Please reference Appendix C for an explanation of the Rejection Codes Reversal Submission and Processing If you have submitted a claim and it was paid in error you should transmit a reversal transaction by first placing an X Reverse in the claim status field The reversal transaction completely reverses the previously processed claim and appears as a credit on your next Remittance Voucher If the initial claim was entered incorrectly you should submit a reversal transaction and then resubmit a new corrected claim Be sure to enter the actual dispense date and not the current date The difference between the original claim and the replacement claim is added to or deducted from the payment amount on your next Remittance Voucher Keep in mind that a reversal will create a credit of your original payment amount and will cause an automatic recoupment of this balance by the Medicaid system 19 Pharmacy Plus Software Copyright 2006 Reversal transactions must also be done when a prescription has been filled a claim has been submitted and paid but the drugs have not been picked up by or
94. the original prescription which has either remaining refills or remaining quantities A refill must have the same Rx number and is uniquely identified by it s suffix a and a number identifying the refill number a zero identifies the original prescription one identifies the first refill etc Governing agencies and insurance companies impose restrictions on when and for how long a prescription can be refilled Some of the most common restrictions are 1 A prescription is only valid for a period of one year or less 2 Aprescription for a controlled substance will expire in less than one year 3 Some drugs may have a cap on the number of refills There are three ways to refill a prescription 1 By selecting the patient the same way you did under the Prescription processing section Then press the F6 key to view the patient s pending refills shown below 2 If you enter a Drug for a new Rx that the patient has active refills pending the system will optionally alert and locate the refill for you if this option in selected in the configuration 3 By entering the prescription number you wish to refill prefixed by a sign in the patients name field Pharmacy Plus Software Copyright 2006 F6 REFILLS PENDING SCREEN FA Pharmacy Plus WSO ding tor 3 a a aT Rx No Original Ref 1 Description Qty Days LPrice PP RL ft 1009 02 20 2003 COUMADIN 5MG TAB 30 15 28 32 PCS 3 1027 05 03 2003 ZANTAC 150MG EFF 30 30 5
95. tomer is still present Features of Point of Sale are listed below Available 24 hours a day seven days a week except for scheduled downtime for system maintenance Complete claims adjudication and remaining cap limit and co payment amounts are returned in payable responses Examples of information reported back includes Primary Third Party Insurance coverage HMO coverage and Drug Utilization Review DUR messages Additionally the system fully supports in real time a claim reversal transaction which enables the pharmacist to back on or credit any return to stock or other prescription transaction adjudicated in error The following restrictions apply to electronic submission 1 Only new claims re submitted denied claims of reversals can be submitted via point of sale adjustments must be submitted via hardcopy invoice For instruction on submitting adjustments please consult with the claim processor or insurance 2 Claims requiring supporting documentation or attachments cannot be submitted they must be submitted via hard copy claim 3 Claims that need to be manually reviewed cannot be submitted 4 One to four prescriptions for the same recipient can be submitted of one time 5 Previously rejected claims can be submitted using point of sale after correction Maximum Allowed Prescriptions Per Transaction Up to 4 prescriptions at a time may be submitted if the following conditions are met 1 The additional pr
96. unenn The above sign on screen will be displayed if you have elected sign on security in the configuration or if you have a network The Sign On screen allows users to log onto the system using their personalized system profile Each user has a unique number and password If the proper User ID and password are not entered in three attempts the user cannot enter the Pharmacy Plus System If you do not have sign on security the User defined as 1 will be signed on automatically Optionally you can also elect to have the system prompt you for the date and time This option is generally reserved for computer systems that do not keep good time or have a bad clock battery most users do not use this feature The Main Menu Pharmacy Plus WSO le x Pharmacy Plus version 2006 4 03j ORLANDO LAPTOP 0 New Refill prescription Modify prescription Void prescription Inquire Print Transfer Rx Track Delivery Pickup Post View payments Rx price quotation Alt Q Print auxiliary Rx ae User sign on CS Copyright c 2006 Abacus Systems of Miami Inc 305 220 0400 The Main Menu provides access to all of Pharmacy Plus functions Use the up down right or left arrow keys to highlight the desired function then press the Enter key Ninety percent of the time you will work under New Refill prescription option Pharmacy Plus Software Copyright 2006 Quick Start The following will quickly guide you through entering a pre
97. uniquely identify an insurance company so that the claim can be correctly routed to them Envoy corp can be reached at 800 333 6869 Version The transaction protocol used when transmitting claims usually 32 unless otherwise specified Comments Any comments you may want to have as reference Special Instructions Any special comments that you want to display while in the patient profile that will alert you to entering special information in fields as specially requested by an insurance company for billing purposes Help desk phone The phone number to call on any questions regarding the insurance company Default price table Indicates whether the prices are to be calculated using the general table default or a custom price table that you built Dispensing fee The usual dispensing fee associated with the insurance Insurance companies will usually automatically include there current dispensing fee paid by the processor in the response of the claim submitted Discount The discount that is to be automatically applied when the plan is used Tax The percent of tax that should be charged if the item being dispensed is taxable Use co pay in patient profile Indicates whether the patients co payment is to be derived from the price table or from the co payment amount entered in the patients profile 46 Pharmacy Plus Software Copyright 2006 Workers Compensation Indicates whether the payment plan is or is to b
98. y group You begin by selecting Post view payment from the menu you will then be asked to enter the payment amount credits are entered as a negative amount and a reference number check number or a notation the description of the payment as you want it seen on the statement If you want to itemize your posting i e record all prescriptions paid by the payment entered answer Y to Itemize If you elect not to itemize the payment will be posted If a Facility code is entered the payment will be discounted from Facility s balance 24 Pharmacy Plus Software Copyright 2006 amp Pharmacy Plus WSO a x Post View payments received 4 03z Nursing Home Facility Received check from Plan PCS PCS Date 06 04 2006 Check amount 30 00 Reference 12345 Description Payment Thank you Reconcile with claims Yes Esc F1 F5 Cancel Help Hist From the above screen enter the following 1 Nursing Home Facility the code of the Facility if payment is received from a facility or group this will result in reducing the Facilities balance Applied check to Plan then Payment plan code of the Insurance billed Date the date the check was received Check amount the amount of the check Reference the check number Description a description of the transaction Reconcile with claims if Yes you will be shown a screen to itemize the transaction and pos
99. y reviewing the patient s history Once you are done the system will take you right back to where you were 2 You can request to place the entire screen on hold all the prescriptions you are currently working with in order to be able to work with another more urgent patient Later you can re call the work placed on hold by selecting your work from the modify prescription screen follow the screen prompt Tip There is no limit to the number of work you can place on hold Pharmacy Plus Software Copyright 2006 F9 INFORMATION Drug to Drug Interaction You can request to check for drug to drug interactions anytime by pressing the F9 key from the prescription entry screen or if specified in the Configuration the system will automatically check for you when you request to save the prescription s When checking for drug drug interactions the computer will search the patient s entire active Rx profile and the prescription s currently being dispensed for conflicts allergic reaction and interactions A prescription is considered active based on the dispensed days supply of the medication i e if the date of the date filled the days supply is greater or equal to today s date then the prescription is considered to be active If a drug conflict has been sited the system will display the drugs that caused the conflict a description in detail of the conflict including the severity of the conflict and information
100. y separating each time with a coma For example 58 Pharmacy Plus Software Copyright 2006 10AM 11AM 2 PM 4PM 10PM Balance The current accounts receivable balance of this facility Last paid The date that last payment was received Amount paid The amount paid on the last payment Statement Date The date of the last statement Statement Amt The amount of the last statement Open Credit The amount of the outstanding credit amount not applied to the patients account Usually an amount payed above the amount owed and can not be posted to open prescriptions items 2 PRESCRIPTION ENTRY Once you have created a Nursing Home record you begin by assigning patients to the nursing home This can be done in the patient file screen from the menu select File then Patients or you can assign the patient to the Nursing Home within the New Refill Prescription screen as shown below FA Pharmacy Plus WSO 0 00 peas ater the Xai DC or Drug name Press EA shiftj Tab to change Payment t Plan EA eg pase 2 g EA el A chai EA eg pase 2 g EA Once you have assigned the Nursing Home to the patient you can begin to enter prescriptions the same way you did for regular patients not in a facility 3 HOURS OF ADMINISTRATION HOA If you are printing Physician Orders or Medication Administration Records MAR sheets and want the hours of administration to print you must enter them in the HOA field in the prescript

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