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Rules & Regulations

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Preparing You for New Standards and Regulations

Once again, QS/1 is leading the way to help you make the transition from the current version of the National Council for Prescription Drug Programs (NCPDP) SCRIPT standard to the new one as smooth as possible. Pharmacies and prescribers that transmit electronic prescriptions have a little more than a year to convert to the new version. Currently, pharmacies and prescribers that wish to prescribe electronically must transmit those e-prescriptions using the SCRIPT Standard version 10.6. On January 1, 2020, transmissions must be made using the New SCRIPT Standard version 2017071.


LTC Marketplace Update: Moving Forward

One of the burning questions fueling healthcare provider discussions is: What’s going to happen to the Affordable Care Act? The first answer was provided on March 24, 2017, when House Republican leaders pulled the proposed American Health Care Act legislation from a vote. However, on May 4, 2017, the House passed the American Health Care Act.


Compliance is Key in Medicare Part B Audits

Medicare is a beneficial program for Americans who are over age 65 or have certain disabilities, but providers sometimes find compliance issues a challenge. An understanding of mandates and how to properly submit claims will ensure organizations are reimbursed for Medicare Part B-covered medications, equipment and supplies, such as nebulizer-inhalation medications, oral immunosuppressive drugs and diabetic testing supplies. Occasionally, providers may unknowingly submit noncompliant or even fraudulent claims for the products and services they offer.