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McKesson Connect Link: A One McKesson Differentiator!. A Customer Initiated Solution. Business Issue: to increase National Drug Code (NDC) accuracy. McKesson Connect Link. Connect Link Where is Accuracy Needed Most?. CMS billing requirement Medicaid Medicare 340B compliance tracking
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A Customer Initiated Solution Business Issue: to increase National Drug Code (NDC) accuracy. McKesson Connect Link
Connect LinkWhere isAccuracy Needed Most? • CMS billing requirement • Medicaid • Medicare • 340B compliance tracking • Barcode medication administration database • Acquisition pricing updates
What is the NDC billing issue? • NDC detail required for Medicaid claims for outpatient “physician administered medications” effective January 1st • NDC detail required for Outpatient Medicare claims (e.g. ED, ASC’s, infusion clinics); this billing requirement is projected to extend to all Medicare Inpatients in the near future • Pharmacy IS and purchasing methods are not designed to track NDC numbers Intentional non-compliance may result infraud. NDC omission results in no pay.
NDC Detail File Updates • New NDCs • Purchased not primary NDC: How Connect Link Helps Hospital Financial System • McKesson Connect Link Benefits: • Improves accuracy of NDC billing detail • Improves Medicare/Medicaid compliance • Improves revenue capture Horizon Meds Manager Connect Link Pharma Distribution McKesson Connect
What is the 340B issue? • 340B is a federal program for not-for-profit disproportionate share hospitals (DSH). • Covered entities can purchase outpatient drugs at a greatly discounted price (25%+) • For many hospitals this can mean millions of dollars in drug spend savings. Intentional non-compliance can lead to a lifetime ban from program.
Orders RegOrder ED Clinic 340BOrder IV Reports Audit Trail McKesson 340BManager SDS 340B: How Connect Link Helps Pharma Distribution McKesson Connect Connect Link Horizon Meds Manager • McKesson Connect Link Benefits: • Maintains accurate NDC numbers • Improves 340B program compliance • Optimizes potential 340B savings
What is the BCMA issue? • Bar Code Med Admin (BCMA): as much as 10% of medications not being scanned • Major contributing factor: inaccurate barcode databases Out-of-date barcode database results in scan overrides and med safety risk.
Scan Master File (MFN) Update New/ChangedNDCs File Updates • New NDCs • Purchased not primary BCMA: How Connect Link Helps Horizon Admin-Rx • McKesson Connect Link Benefits: • Facilitates barcode accuracy in Horizon Admin-Rx (BCMA) • Increases scan rates • Improved medication safety Horizon Meds Manager Connect Link Pharma Distribution’s McKesson Connect
Cost Updates: How Connect Link Helps • Searches for pricing updates and alerts user for prices outside “guardrails” • Detects contract pricing errors and pack size changes • Provides efficient method of maintaining charges based on Average Wholesale Price (AWP) Accurate cost detail gives true meaning and value to pharmacy reporting/analytics.