Audit Alert

One of our customers has notified us about an audit concern.

Some insurances that would not take more than a 30 day supply in the past are now requiring the correct day supply. The customer was sending Nicotrol Cartridges with a 30 day supply because the insurance had rejected any prescription with a day supply greater than 30 for years. Now the insurance company is auditing prescriptions not transmitted with the correct day supply.

We can set the Fill Screen to always go to the Day Supply Field for drugs that are not a CAP or TAB. We can also display a window that shows information on the previous dispensings, including the day supply. See the image below:

To turn these features on, type UB from any menu to go to the Business Control File. Choose #2, Rx Dispensing Customization.

Change #16, DaySup NewRx only? to T if you want the fill screen to go to the Day Supply Field for drugs that are not a CAP or TAB.

Change #17, Calc DaySup using sig? to T if you only want the sigs to calculate the Day Supply for drugs that are CAP or TAB.

If you need help using these features in your system or want more information about these products, please give us a call.