Frequently Asked Questions

Are E-billing reimbursements determined by Average Wholesale Price (AWP)?

  • Pricing is determined by manufacturer NDC and Average Wholesale Price (AWP), Wholesale Acquisition Cost (WAC), or sometimes MAC.
  • Our E-billing system automatically verifies NDC and AWP/WAC information to maximize billable E-billing claims.
  • For Workers. Comp claims, State fee schedules determine reimbursement and may or may not use the manufacturer or repackager NDC.

Are products delivered via UPS, Fed Ex, or regular mail?

  • Medications are delivered through UPS, FedEx, and other regional delivery companies and require a signature.
  • All tracking and delivery information can be tracked through the Dr. Dispense application.

Do I need a special license to dispense out of my office?

  • Please see the state license requirement sheet for more information.

Do we need to buy any equipment to dispense? (e.g. hardware, software, equipment, cabinets, etc.)

  • Dr. Dispense software is web based and can be used on any clinic computer that has internet accesses along with a connected printer.
  • The required equipment is a barcode scanner and Dymo Label printer.
  • Optional equipment includes a magnetic stripe reader for scanning patient drivers licenses (State restrictions apply).
  • Cabinets and product storage can be discussed with your Account Executive. Most facilities can meet the requirements of storing CIII-CIV products. CII products may require additional locked storage.

Do you have any ongoing costs with the dispensing system?

  • There are monthly fees associated with the pharmacy adjudication / E-billing program for accounts that process less than 150 transactions per month. All other platform access and service fees are built into our product pricing.

Do you provide utilization reports by physician? By drug type?

  • Dr. Dispense provides numerous utilization and financial reports by provider, transaction type, patient, drug categories, and many more.

Does DRD automatically alert the user when there are drug interactions / allergies?

  • There are two components to this. The practitioners front end EHR/EMR and the back end pharmacy (DrD).
  • The practitioners EHR/EMR is used to do an check for allergies, insurance formulary constraints, and drug-drug interactions filled at a pharmacy with the patients insurance. If the Dr does not use an EHR/EMR to e-prescribe then this functionality is not completely covered in the DrD platform.
  • For $20/mo. the practitioners can use a stand along e-prescribing tool integrated with DrD that would provide this full functionality.
  • Once the script is e-prescribed or manually entered into the DrD platform, we check for drug-drug interactions against any other existing scripts filled through another pharmacy or the practitioners location and whether or not this product is in the insurance formulary. If there were two drugs dispensed, we would process each one serially. Meaning Drug 1 would be fully processed and billed. Then after we submit Drug 2, any negative interactions with Drug 1 would generate a Drug Utilization Review (DUR) message.
  • Depending on the severity of the interaction, the DUR message would either be a warning only or an error that fails the claim.

Have any of your clients had issues with burglary/theft of medications?

  • In the past 10 years we have had one client catch a new hire with medications in her possession and another client have an employee break into the clinic after hours. Theft is not a common occurrence.

How do I bill for workers' compensation claims?

  • Our system has two options- fully managed and dispense only. Using dispense only, your facility dispenses the medications and does all required billing. In the fully managed program, the work comp products are dispensed in our platform and billed by Dr. Dispense.
  • The full managed program is designed for regular work comp claims where the patient does not have a work comp rx card. If they have a work comp rx card, a growing trend in workers' comp, then you would process the claim just like a private or Medicare patient.
  • Typically we are receiving managed billing payments 60 days from the date of service.

How do we decide on a starting inventory?

  • Dr. Dispense works on a just in time inventory model. With our automated inventory management system, we work to establish a two to three week inventory level so that you do not need to worry about ever being out of product.
  • To accomplish this it may take 30-90 days to determine a baseline to meet your dispensing patterns. In the mean time our customer support and sales departments will work with you to find where you need to be based on your patient volume.

How does an account tell if their NPI is Type 1 or Type 2?

  • The only way to tell if the NPI is Type 1 or Type 2 is to do a lookup on the NPPES website. https://nppes.cms.hhs.gov.
  • The address on the NPI must match the physical location of the facility.
  • If a customer does all of their billing through a single NPI for multiple locations, they can register for a second NPI for each location that would only be used for pharmacy transactions (NPDS Taxonomy Code 332900000X).

How is a provider paid for claims? Is it on collections or is there a guaranteed profit per script?

  • Claims for private, Medicare and Work Comp drug cards are paid based on the adjudicated (e-billing) claim and received by the clinic within three to four weeks.
  • Work Comp managed claims, where Dr. Dispense performs the billing, are paid in about 60 days from the date of service.
  • Cash, Work Comp and Personal Injury are programs administered by the clinic and paid directly to the clinic.

How is inventory controlled?

  • Dr. Dispense recommends that inventory is manually reconciled at a shift change or a minimum of once per week.
  • We recommend using two people and the use of our reconciliation signed off sheet. The inventory reconciliation sheets should then filed in a secure location along with product invoices and packing slips.

How long does it take to dispense medications to a patient?

  • Less than 15 seconds for Cash and Work Comp. Less than 30 seconds for E-billing patients already entered in the system.

How long has the company been in business?

  • Dr. Dispense was founded in 2003.

How many practices does the company service?

  • Dr. Dispense supports hundreds of locations with clinics ranging in size from one to forty eight practitioners.

How mature is the software platform?

  • The initial system was developed in 2005 and we are on Version 3.7. Our system up-time an performance is impeccable. We monitor all systems 24/7 365 days a year.

How often does the provider get paid? Are you able to track what is paid and what is not?

  • E-billing payments are received by the clinic within three to four weeks
  • Work Comp Managed Billing payments are collected in about 60 days and paid monthly.
  • Payments can be tracked and reconciled in the Dr. Dispense the application.

If guaranteed profit per script, what type of info is required for claim acceptance (e.g. WC claim number, etc.)

  • The only Work Comp claim with guaranteed profit/reimbursement are claims submitted via electronic billing.
  • Private, Work Comp Rx Cards, Medicare and Medicaid Insurance will show real-time reimbursement at the time of the electronic submission.

If payment is on collections, does the company have the right to refuse claims they don't want?

  • Dr. Dispense provides a platform for the facility to electronically submit claims to pharmacy benefit plans or to our managed Work Comp billing program. We do not handle collections issues outside of denials for electronically submitted claims.
  • The Dr. Dispense platform will only reject claims based on denial responses from the specific payor for a patient.

If we run out of proudct, how long does it take to get more in stock?

  • Typically two to three days standard delivery once your formulary and account have been established. Customers can request with over night delivery for an additional fee if the order is submitted by 11:00 AM PST.
  • Dr. Dispense recommends establishing our automatic ordering (Min/Max) program in order to eliminate any potential shortages and or excessive orders.

Is dispensing legal in all States?

  • Dispensing is restricted in MT, NY, NJ, TX, UT.
  • These States do not allow physician dispensing or restrict days supply or program profit. See State Regs for more information.
  • Please see the state license requirement sheet for more information.

Is the dispensing system user friendly?

  • Yes. The easiest, most intuitive system to use on the market.

Is the inventory tracked real time in case of inspection/survey?

  • Inventory is tracked from the time the order is placed, to being received at the facility, and all the way through the dispense to the patient.
  • Dr. Dispense provides automated weekly reports to all States with Prescription Monitoring Programs (PMP).

Is there any legislative activity to limit dispensing abilities in my State?

  • Your Account Executive will provide additional reference material.
  • Reference State website for current information regarding regulatory issues.

What happens if we get audited?

  • If the DEA comes in review the program, all required documentation is in the report section of the application. Customer support can be available for assistance while the DEA is onsite.
  • We have had customers audited by the DEA in the past and have never had an issue. This is not a frequent occurrence.

What is being billed to the insurance carriers?

  • Billing through Dr. Dispense is done through electronic adjudication.
  • Reimbursement as well as Patient payment and eligibility are determined by the Pharmacy Benefit Manager (PBM).

What limitations does my State impose on physicians dispensing medications to patient?

  • Your Account Executive will provide additional reference material.
  • Please see the state license requirement sheet for more information.

Who can dispense? Does it have to be a licensed practitioner?

  • Depends on the State regulations
  • Your Account Executive will provide additional reference material for your location.

Who is responsible for expired medications?

  • The physician is responsible for their proper use and disposal of expired medications.
  • Medications are delivered with a minimum six (6) months available expiration.
  • Dr. Dispense provides a 90 day notification by e-mail whenever a medication is scheduled to expire.

Who pays for the inventory?

  • The practitioner / practice must own the products according to Stark and the Office of Inspector General (OIG) regulations.

The DrDispense Dispense Solution (DDS) is a break-through in in-house Point of Care dispense technology.

Leverage a combination of products and services tailored to meet the needs of your facility.

In-house Pharmacy

ePrescribing

eBilling

Patient Eligibility

Private Labeling

Controlled Reporting

Inventory Management

 



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