Here at PDS, we take pride in highlighting some of the incredible solutions in our industry. We know these companies have the potential to revolutionize pharmacies just like yours through their products and services. We’re excited to introduce PioneerRx. Read on for their sponsored blog post about the impact that eCare plans can have on your pharmacy’s business.
The greatest silver lining of the pandemic is that community pharmacists are finally being recognized for the value of care that they provide to their patients. Community pharmacies are the frontline members of a patient’s care team, often seeing them monthly and identifying their barriers to a healthier life. In many communities, the pharmacy is where patients have received point-of-care testing, counseling services, and now COVID-19 testing and vaccines.
But as the saying goes, if you don’t document it – it didn’t happen. This is why eCare Plans are so important for maintaining healthy patient populations and ensuring that pharmacists are getting paid for their services. Read on to learn the 4 main benefits of eCare Plans.
Payment for Services
The largest benefit, specifically for pharmacists, of generating eCare Plans is that they contain a payer section. If you are offering clinical services within your pharmacy, paperwork should not be the barrier between you and a reimbursement. The payer portion of the eCare Plan allows pharmacists to identify which payer they are submitting the documentation to. eCare Plans detail what happened, to whom, by whom, and when so that there is clear documentation of the service provided to determine what reimbursement is suitable.
Within PioneerRx pharmacy software, eCare Plans are automatically generated and can be submitted to CPESN. This means that pharmacies are getting reimbursed for the services they provide without submitting additional paperwork. Document the care service within a patient’s profile once it is performed, identify which payer should be contacted, while PioneerRx formats and compiles the information into an eCare Plan. From there, the pharmacist submits the plan to CPESN. Med sync eCare Plans are automatically submitted to CPESN at the end of each fill cycle.
Care Goal Setting
Chronic care management requires a series of small actions that build to overall patient health improvement. These actions are compiled into a care plan by the pharmacist, creating a targeted goal path for the patient’s health journey. Common care actions include patient education, recording labs, vitals, vaccination, medication review, etc. By setting care goals that align with a patient’s desired outcomes, you can ensure that your patient is on track to achieve the overall improvement outlined in the care plan.
Detailed Care History
An eCare Plan keeps the entire plan described above with its goals and actions in one document that can easily be referenced in the future. When counseling a patient, a pharmacist can reference the care plan, which outlines a detailed care history in the same document where past and present medications, lab values, and other notes are located. Beyond clinical services, pharmacists can document health barriers and other useful information within eCare Plans, such as socioeconomic status, transportation, and nutrition.
eCare Plans are interoperable documents that aggregate data from multiple sources and communicate data out to other sources. Besides payers, you can also share eCare Plans with other members of your patient’s health team, such as physicians or laboratories. It ensures that each member of the care team that interacts with a patient will have a complete picture of their health history, and be able to perform the appropriate care actions based on what the patient has already experienced or is currently undergoing. The value provided by eCare Plans encircles patients, pharmacists, and all members of a health team. Now is the time to get paid for the services you provide and better manage your patient’s outcomes.
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