Introduction Discussion
NextSteps
InovalonOverview
What We Heard
SolutionComponents
ScriptMed History
Our Specialty Pharmacy Roots and Commercialization
Founded as a pharmacy consulting firm for complex workflow
Launched specialty software system: ScriptMed Enterprise
Launched next generation software: ScriptMed Cloud
1990
2004
2020
info
info
info
Launched ScriptMed Cloud Infusion Management
Developed custom technology to launch Merck's Crixivan
Merged with Inovalon for strategic industry differentiation
2022
1996
2016
info
info
info
Empowering Data-Driven Healthcare In Scale
The reach of Inovalon’s platform has grown to touch the vast majority of the United States, able to empower the market’s largest data-driven healthcare initiatives.
100s
Health Plans, Providers, Life Sciences, Pharmacy & Diagnostics Organizations
359M+
(count does not yet include data from ABILITY)
100,000,000+
Patients*
622K+
The MORE2 Registry medical events incidents
Connected Provider Client Sites
Inovalon Headquarters
Provider Sites
Office/Data Center
Hawaii
Puerto Rico
Alaska
ScriptMed Clients
ScriptMed is the leading technology provider for Specialty Pharmacy with ~35% market share, supporting integrated high touch and low touch service levels including proactive case management, free drug and replacement programs, mail order, and specialty wholesale. With the pipeline of Specialty medications, the expanding vertical market integration, increasing value-oriented incentives, ScriptMed Cloud provides the next generation platform across pharmacy delivery models.
~35% Market Share
ScriptMed Cloud Modules
CLINICAL MANAGEMENT
INVENTORY MANAGEMENT
ORDER FULFILLMENT
REVENUE CYCLE
CONTRACT MANAGEMENT
INFUSION MANAGEMENT
REFERRAL MANAGEMENT
REPORTING & VISUALIZATION
ORDER MANAGEMENT
MedicalBilling
Complex Drug Compounding
Data Collect & Assessment
Item Picking
PricingElements
Item Maintenance
Reorder Processing
Image Intake & Rx Entry
Work In Progress
TPN Formula Management
BatchRefills
Financial Reporting
SupplyKits
Clinical Timeline
OrderPacking
Benefits Verification
Patient Collections
Contract Details
Unmatched Remits
Infusion Schedule
Service Level Agreements
CarePlans
Patient Care Coordination
Productivity Analysis
Pharmacist Verification
Shipping & Will Call
Purchase Orders
InterchangeExchange
DatastreamIntegration
Nurse Scheduling
ProtocolBuilder
DataAccess
Partner Collaboration
MySharePortal
API Bundles
Process Timeline
ScriptMed Cloud Evaluation and Implementation
What to expect?
ScriptMed® Cloud focuses on the holistic needs of patients with complex health conditions and high cost medication therapies, and those clinicians who provide care for them. ScriptMed® Cloud provides unique capabilities that allow clients to make a difference for those patients.
Intro Call
Capabilities Overview
Demo
Business Case
Implementation
Contracting
My Dashboard
ScriptMed Cloud features a fully configurable, persona based workflow Dynamic Workstages
- Workstage Tiles
- My Tasks
- Team Tasks
- Worklist Sorting
- Filter Groups
- Advanced Search
Advanced Search
Referral Management Module
Functionality Elements
info
Customizable intake workflow to service a patient with respect to clinical and financial considerations including Payer and Pharma requirements.
- Persona based workflow
- Business drivers for custom workflow
- Plan and Drug Specific Coordination of Benefits
- Automated Test Claim Processing
- Automated Eligbility Verification
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Image Intake
Referral workstage to begin the intake process
- Establish patient profile
- Create new referral
- Set business drivers
- Disease State
- Payer
- Therapy Cycle
- Clinic
- Program
- Source
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Add Patient
Business Drivers
Multiple Pages
Annotation
Pre-QA
Referral workstage for prescription entry
- Add Rx Line
- Quantity
- Refills
- Days Supply
- Cycle Days
- Place of Service
- Date Written
- OriginTriple S
- Signature
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Outbound Request Line
Add Non-Rx Line
Rx Opportunity
Secondary Details
Conditioning Fill
Dosing Details
Intake Prep
Referral workstage for coordination of benefits
- Plan Look Up
- Add Insurances
- Coordination of Benefits
- Drug Specific COB
- Add Claim Modifiers
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Drug Specific COB
Coordination of Benefits
Insurance Appeals
Prior Authorization
Test Claim Options
Additional Claims Data
Accounts Receivable
Patient Care Coordination
Referral workstage to coordinate care.
- Review referral information
- Schedule delivery
- Discuss copay
- Patient payment information
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Clinical Care Management Module
Functionality Elements
info
ScriptMed® Clinical Care Management tools provide the ability to systematically define, initiate, track, and enable patient interventions.
- Rule-Based Clinical Protocols and Interventions
- Clinical Data Collection and Assessments
- Care Planning & Timeline Development
CLINICAL MANAGEMENT
Data Collect & Assessment
Clinical Timeline
Care Plan Creation
Data Collect & Assessment
Data collects and assessments are fully customizable
- Clinical Intervention
- Rule based triggers
- Clinical data collection
- Clinical assessment
- REMS management
- Therapy adherence
CLINICAL MANAGEMENT
Data Collect & Assessment
Clinical Timeline
Care Plan Creation
Clinical Summary
Clinical Timeline
Multiple workstreams to show patient history
- Clinical Interventions
- Data Collects
- Medication Summary
- RxActivity
- Datastream
CLINICAL MANAGEMENT
Data Collect & Assessment
Clinical Timeline
Care Plan Creation
Data Supplementation
Care Plan Creation
Generate custom care plans for patients and health care providers
- Medications
- Allergies
- Interventions
- Data Collects
- Assessments
CLINICAL MANAGEMENT
Data Collect & Assessment
Clinical Timeline
Care Plan Creation
Order Management
Functionality Elements
info
ScriptMed Cloud Order Management prioritizes orders, typically multiple prescriptions and supplies by “need date” and help manage exceptions through routing to work stages for resolution.
- Multi-pharmacy Support
- Integrated Inventory and Quality Checks
- Automated COB Adjudication
- Reorder Processing
- Returns and Re-shipment Tracking
ORDER MANAGEMENT
Reorder Processing
BatchRefills
Pharmacist Verification
Manual Reorder Processing
Create manual orders for the patient in context
- Refill an existing prescription on the patient
- Add supply lines
- Add new Rx lines
ORDER MANAGEMENT
Reorder Processing
BatchRefills
Pharmacist Verification
Reorders
Automated Batch Refills
Scheduled tasks reorder prescriptions based off of configured parameters
- Filter include numerous parameters
- Disease State
- Drug Short Name
- Days until needed
- Facility
- Referral Source
- Therapy Cycle
ORDER MANAGEMENT
Reorder Processing
BatchRefills
Pharmacist Verification
Pharmacist Verification
PV1 is an order stage where pharmacists perform checks on all new prescriptions to ensure all of the inputted information is accurate. PV1 allows pharmacists to update any inaccurate information and provide documentation as to why the information was changed.
ORDER MANAGEMENT
Reorder Processing
BatchRefills
Pharmacist Verification
Order Fulfillment Module
Functionality Elements
info
The ScriptMed® Order Fulfillment Module supports the process of prioritizing, picking, labeling, quality-checking, packing and shipping a prescription
- Real-time Lot Number Validation
- Barcode-driven Shipping
- Personalized Order Documents
- Standard and Automated Fulfillment
- Manifest Integration
- Patient Package Acceptance
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Item Picking
Order workstage where the technician picks the product and scans/enters the NDC for verification that the correct item was picked.
- Input Lot Number information
- Print Order Documents
- Print Labels
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Lot Tracking
Pharmacist Verification
PV2 is an order stage that occurrs after Picking. This stage allows pharmacists to perform a final verification check of the order.
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Order Packing
Order stage that allows for the final quality check to ensure that all items are placed into the package including medications, supplies and associated order documents.
- Print or reprint needed documents such as Patient Education
- Ensure all items are packed correctly
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Group Order Management
Shipping & Will Call
Final Order stage where orders are shipped to patients
- Shipping labels are generated
- Inventory is decremented
- Revenue is recognized
- Manage the order's tracking number
- Order is marked as completed
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Inventory Management Module
Functionality Elements
info
The ScriptMed® Cloud Inventory Management Module has perpetual inventory functionality supporting the purchasing, stocking, and movement of drug product inventory from multiple suppliers and for multiple pharmacy locations.
- First In First Out (FIFO) Tracking
- Lot Management
- Multiple Inventory Support
- Drug, Supply, and Service Items
- Device/Pump Rental & Ownership
INVENTORY MANAGEMENT
Item Maintenance
SupplyKits
Purchase Orders
Item Maintenance
Item inventory allows users to keep track of item information including:
- Quantity on Hand
- Quantity on Commit
- Quantity on Order
- Cost
- Reorder Point
- Order information relating to open orders with the item
INVENTORY MANAGEMENT
Item Maintenance
SupplyKits
Purchase Orders
Supply Kits
Supply Kit Management allows the association of one or more supply items to one or more medications
- Auto-Add
- Pre-select
- Quantity
INVENTORY MANAGEMENT
Item Maintenance
SupplyKits
Purchase Orders
Purchase Orders
- Users can search for and add items to a newly created inventory order
- Users can also view and modify items that are already on an existing order, or search for and add additional items to the existing order.
INVENTORY MANAGEMENT
Item Maintenance
SupplyKits
Purchase Orders
Contract Management
Functionality Elements
info
The ScriptMed® Cloud Contract Management Module handles contracting scenarios, establishing the appropriate billing requirements, pricing, terms, contact information, and configuration for payers, manufacturers and other partners.
- Pricing Support
- U&C and Contract Pricing
- Pharmacy and Medical Payers
- Co-pay and Patient Assistance
- Supplier Contracts
- Value-Based Contracting
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Contract Management
ScriptMed Cloud Contract Management Module is designed to handle multiple contracting scenarios, each managed through a process of establishing the appropriate billing requirements, pricing, terms, contract information and configuration. This module supports pharma contracts, managing specific work activities, data captures, workflows and service levels. This requires integration across multiple entities, this module helps manage those relationships to ensure success across all stakeholders.
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Pricing Elements
Designed to support configuration of price schedules on three levels, pharmacy, physician and patient, allowing for the input or automated loading of complex pricing structures.
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
New Contract Creation
Enables Contract Managers to add contract demographics, associated entities, and applied services to new contracts. Through this, users can ensure that contract information is documented accurately, and can be used for reporting and management of the contract.
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Pricing Elements
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Contract Details
Contract Demographics
- Contract Name
- Contract Timeframe
- Contact Info
- Payment Terms
Associated Entities
- Entity Name
- Entity Type
- Clients
- Associations
Applied Qualifiers
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Service Level Agreements
Associated Services pages within the Applied Qualifiers section allows a contract manager to make modifications. This includes adding/editing payment terms, Service Level Agreement (SLA) related to the service and adding or removing additional associated service options.
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Revenue Cycle Management
Functionality Elements
info
ScriptMed® Cloud offers a comprehensive Revenue Cycle Management Module with capabilities for pricing, billing, deposit, and payment processing for a patient’s medication, supplies, and services.
- Billing
- Deposit Management
- Cash Applications
- Collections
- Clearing Accounts
REVENUE CYCLE
MedicalBilling
Patient Collections
Unmatched Remits
Medical Billing Workflow
- Bill Claim Record Created in RCM
Pending Edit Workstage
Claim Edits Run Automatically
Auto-edits enabled?
All edits pass?
REVENUE CYCLE
MedicalBilling
Patient Collections
Exception Stage
Rollover Secondary Billing
Insurance Secondary Billing
Claim Reprocessing Requests
Payer Rejection
Edit Review
Unmatched Remits
Pharmacist Verification
Picking
Medical Billing
Automated medical billing based on data collected
- Tasked based workflow
- Edit Reviews
- Submission Fall Exceptions
- Claim validations
REVENUE CYCLE
MedicalBilling
Patient Collections
Unmatched Remits
Patient Collections
Collections for outstanding invoices
- Patient contact
- Dispusted Rx
- Balance
- Item
- Date of Service
- Priority Date
REVENUE CYCLE
MedicalBilling
Patient Collections
Unmatched Remits
Unmatched Remit
Full remittance workflow
- Check number
- Payment Ammount
- Payer ID
- Fill Date
- Type
- Patient Search
- Claim Amount Charge
- Claim Amount Paid
REVENUE CYCLE
MedicalBilling
Patient Collections
Unmatched Remits
Reporting & Visualization
Functionality Elements
info
The ScriptMed® Cloud Reporting and Visualization Module provides data visualization and parameter-driven ad-hoc reports as well as schedule delivery of reports
- Operational and WIP Reporting
- Clinical Reporting
- Financial Reporting
- Report Visualization and Dashboards
REPORTING & VISUALIZATION
Work In Progress
Financial Reporting
Productivity Analysis
Clinical Work in Progress
- The Clinical WIP Reports include dashboards used to gain a holistic view of the state of interventions by comparing against work stage, patient disease state, and priority dates.
- The Stage Volumes dashboard highlights some of the metrics that can drive in-process interventions, such as patient disease state and work stage aging times.
- Helps prioritize what works needs to be accomplished and determine scale of work by work stage
REPORTING & VISUALIZATION
Managed Medicaid
Work In Progress
Financial Reporting
Productivity Analysis
Financial Reporting
ScriptMed Cloud provides real time financial reporting that can be both scheduled and generated on demand.
- Acounts Receivable
- Aging
- Adjusted Sales and Margin
- Insurance
- Transaction Details
- Bill for Denial
- Check Adjustments
- Claims Report
- Fee Schedule
- HCFA Payment
- Payer / Plan
- Shipped Prior to Adjudication
- Submitted vs Payable
- Unmatched Payment Report
- Unsubmitted Claims
- Sales
- Calculated Sales Tax
- New Doctor Report
- New Patient First Shipment
- Sales by Drug
- Sales by Top Prescriber
- Sales Summary by Month
- Sales Top ICD
- Sales Top Payers
- Sales Validation
- Transaction Batch Report
REPORTING & VISUALIZATION
Managed Medicaid
Work In Progress
Financial Reporting
Productivity Analysis
Referral Productivity Analysis
- The Referral Productivity Analysis dashboard provides several ways to assess referrals once they have been indexed into ScriptMed
- Provides overal metrics on referral statues such as in-process, closed, and No Go.
- Provides how many referrals are indexed throughout various timeframes.
REPORTING & VISUALIZATION
Managed Medicaid
Work In Progress
Financial Reporting
Productivity Analysis
Order Turnaround Time
- The Order stage Turnaround Time dashboard helps keep track of completion metrics for order lines and order stages
- Compare completion and in-process times for order lines and order stages
- View factors that impact turnaround time such as patient disease states, insurance plans and items.
REPORTING & VISUALIZATION
Managed Medicaid
Work In Progress
Financial Reporting
Productivity Analysis
Infusion Management
Functionality Elements
info
The ScriptMed® Cloud Infusion Management Bundle supports specialty infusion, home infusion and ambulatory infusion patients.
- Complex Drug Compounding
- Clean Room Management
- Total Parenteral Nutrition (TPN) Formula
- Medical Benefit Eligibility Verification
- DME Pump Rental, Sales and Service
INFUSION MANEGEMENT
Complex Drug Compounding
TPN Formula Management
DME Pump Rental, Sale & Service
Complex Drug Compounding
- Complete Compounding Record Creation
- TPN Formula Management
- Clean Room Environment Quality Tracking Documentation
- Automatic Compounding Device (ACD) Integrations
- IV Clean Room Workflow (WFMS) Management Integrations
- Standard, Batch, Custom Drug Compounding
- Master Formulation Record
- ingredients and quantities
- instructions
- equipment and supplies
- beyond use date
INFUSION MANAGEMENT
Complex Drug Compounding
TPN Formula Management
DME Pump Rental, Sale & Service
TPN Formula Management
Complex Drug Compounding
- Reconstitution and dilution of infusion products
- Combination of NDC drug items
- Total Parental Nutrition recipe management
INFUSION MANAGEMENT
Complex Drug Compounding
TPN Formula Management
DME Pump Rental, Sale & Service
Infusion Schedule
INFUSION MANAGEMENT
Complex Drug Compounding
TPN Formula Management
DME Pump Rental, Sale & Service
Datastream and Inovalon Interoperability for Data
The Inovalon ONE:
- provides a comprehensive data and analytics ecosystem with industry leading data depth of more than 359M longitudinally aligned patient records, more than 71B medical events
- complemented by extensive data connectivity and reach to more than 1 million providers (based on treatment use cases)
- provides a highly configurable platform and API gateway for pharmacy clients to streamline processes, inform clinical decisions, and improve patient care and outcomes.
Our Approach
Cloud Based EHR
Provider HIE
Direct Connect EHR
Inovalon ONE
ScriptMed Cloud
Clinical Intelligence
Data Filters Logic / Rules ML / NLP Calculations
CDEaaS
EHRInteroperability
API Gateway
Detail Summary Analytic
DDXaaS
CDR
MORE2 Registry
Claims
Authorized Data
Retrieval
Clinical Protocol Content
The Clinical Program Subscription provides baseline intervention-based clinical protocols and content to facilitate best practice patient care management.
- Crohn’s Disease
- Cystic Fibrosis
- Growth Hormone Deficiency
- Hepatitis C
- HIV/AIDS
- Multiple Sclerosis
- Oncology – General Oncology
- Oncology – Prostate Cancer
- Psoriasis
- Rheumatoid Arthritis
- RSV
- Ulcerative Colitis
- Migraine
- Transplant
- Hemophilia
- Cholesterol
- Fertility
Data Access
ScriptMed Cloud Data Access provides visibility into the data ingested, produced, and stored as a result of using ScriptMed.
Protocol Builder
Design and optimize workflows and assessments.
- Data Elements
- Decision Points
- Interventions
- Transaction Row
- Work Stage
Transaction Row
Decision Point
API Integrations
My Share
ScriptMed® MyShare is an online patient portal that allows for self-service, personalized patient engagement.
- Intuitive medication management and ordering
- Patient communication preferences
- Text, email, or phone reminders
- Actionable patient alerts
- Self-service interactive health assessments
SMS Alerts
Partner Collaboration
ScriptMed® Partner Collaboration is a web-based portal that allows for secure, interactive patient care workflows to be established among pharmacies, physicians and other healthcare providers.
- Supports collaborator relationships and role-based security and configuration
- Enables submission of eReferrals via the web for expedited processing in ScriptMed®
- Allows healthcare partners to look up referred patients
- Facilitates scheduling and coordination of nursing services
- Facilitates alternate site of care assessments
Nurse Scheduling and Resource Management
Improve Patient Outcomes
ProblemPayer Preferred Pharmacy Network Agreements and Pharma Limited Distribution Drug Agreements require specific patient care protocols and actions along with related service level agreements Solution
ScriptMed provided customized clinical protocols configured (using ScriptMed Protocol Builder and Clinical Tools) to support the specific rules, workflows, data collection and data reporting requirements of each program.
Capabilities
- Access in workflow to real-time patient data and predictive analytics
- Accessible, accurate, and self-serviced clinical and operational reporting
- Visibility into patient trends and charts
- Configurable and automated workflows and interventions
- Intuitive, persona-based user interface
- Disease based clinical protocol library developed, updated, and maintained by clinicians
- Partnership with industry leader
- Comprehensive system designed for Specialty Pharmacy
- Ability to securely extend system to external stakeholders
Increase Patient Acquisition
Capabilities
ProblemUninformed and undifferentiated account reps calling on referral sources Solution
Implement ScriptMed®’s Partner Collaboration with the sales team management features Result
Improved partner relationships, incremental patient referrals to the pharmacy, and improved turnaround
time on speed to therapy
- Single customizable platform to support winning contracts
- Configurable workflows
- Single source of clinical truth
- Meet the custom data collection and reporting requirements of each Payer and Pharma contract
- Centralize guidance on contract navigation and administration
- Agile support of LDD requirements, including data transmission
- Meeting specific requirements for de-identified of data sets
Optimize Operations and Efficiency
Capabilities
ProblemHigh labor cost associated with routine reorder scheduling calls Solution
Implemented ScriptMed® MyShare for digital self-service patient engagement for reorders Result
Reduced approximately 25% of reorder scheduling calls resulting in labor cost savings, improved patient satisfaction, and improved SLAs
- Single, comprehensive system which drives data-driven workflow
- Automated and configurable solution to support varying business models
- Robust reporting and analytics
- Interoperability and data sharing across stakeholders
- Proven, scalable platform that is secure and technically compliant (HITRUST, SOC2, HIPAA)
Secure Patient Data
ProblemSignificant time, effort, and cost to achieve HITRUST Certification to meet minimum
criteria for potential Payer Preferred Pharmacy contracts Solution
Implemented ScriptMed® Cloud Result
Met and exceeded minimum requirement of HITRUST Certification for prospective payer contracts;
multiple payer contract awards
Capabilities
- Optimized single sign-on and user authentication
- Role-based user access
- HITRUST certification
- User date and time access and change tracking
- Tier X (Tier 1 is the lowest)
- Redundant data center with automated failover
- One partner to host and manage infrastructure
- Highest level of data encryption available
Northstar Infusion
Sales Engineering
Created on March 14, 2023
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Transcript
Introduction Discussion
NextSteps
InovalonOverview
What We Heard
SolutionComponents
ScriptMed History
Our Specialty Pharmacy Roots and Commercialization
Founded as a pharmacy consulting firm for complex workflow
Launched specialty software system: ScriptMed Enterprise
Launched next generation software: ScriptMed Cloud
1990
2004
2020
info
info
info
Launched ScriptMed Cloud Infusion Management
Developed custom technology to launch Merck's Crixivan
Merged with Inovalon for strategic industry differentiation
2022
1996
2016
info
info
info
Empowering Data-Driven Healthcare In Scale
The reach of Inovalon’s platform has grown to touch the vast majority of the United States, able to empower the market’s largest data-driven healthcare initiatives.
100s
Health Plans, Providers, Life Sciences, Pharmacy & Diagnostics Organizations
359M+
(count does not yet include data from ABILITY)
100,000,000+
Patients*
622K+
The MORE2 Registry medical events incidents
Connected Provider Client Sites
Inovalon Headquarters
Provider Sites
Office/Data Center
Hawaii
Puerto Rico
Alaska
ScriptMed Clients
ScriptMed is the leading technology provider for Specialty Pharmacy with ~35% market share, supporting integrated high touch and low touch service levels including proactive case management, free drug and replacement programs, mail order, and specialty wholesale. With the pipeline of Specialty medications, the expanding vertical market integration, increasing value-oriented incentives, ScriptMed Cloud provides the next generation platform across pharmacy delivery models.
~35% Market Share
ScriptMed Cloud Modules
CLINICAL MANAGEMENT
INVENTORY MANAGEMENT
ORDER FULFILLMENT
REVENUE CYCLE
CONTRACT MANAGEMENT
INFUSION MANAGEMENT
REFERRAL MANAGEMENT
REPORTING & VISUALIZATION
ORDER MANAGEMENT
MedicalBilling
Complex Drug Compounding
Data Collect & Assessment
Item Picking
PricingElements
Item Maintenance
Reorder Processing
Image Intake & Rx Entry
Work In Progress
TPN Formula Management
BatchRefills
Financial Reporting
SupplyKits
Clinical Timeline
OrderPacking
Benefits Verification
Patient Collections
Contract Details
Unmatched Remits
Infusion Schedule
Service Level Agreements
CarePlans
Patient Care Coordination
Productivity Analysis
Pharmacist Verification
Shipping & Will Call
Purchase Orders
InterchangeExchange
DatastreamIntegration
Nurse Scheduling
ProtocolBuilder
DataAccess
Partner Collaboration
MySharePortal
API Bundles
Process Timeline
ScriptMed Cloud Evaluation and Implementation
What to expect?
ScriptMed® Cloud focuses on the holistic needs of patients with complex health conditions and high cost medication therapies, and those clinicians who provide care for them. ScriptMed® Cloud provides unique capabilities that allow clients to make a difference for those patients.
Intro Call
Capabilities Overview
Demo
Business Case
Implementation
Contracting
My Dashboard
ScriptMed Cloud features a fully configurable, persona based workflow Dynamic Workstages
Advanced Search
Referral Management Module
Functionality Elements
info
Customizable intake workflow to service a patient with respect to clinical and financial considerations including Payer and Pharma requirements.
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Image Intake
Referral workstage to begin the intake process
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Add Patient
Business Drivers
Multiple Pages
Annotation
Pre-QA
Referral workstage for prescription entry
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Outbound Request Line
Add Non-Rx Line
Rx Opportunity
Secondary Details
Conditioning Fill
Dosing Details
Intake Prep
Referral workstage for coordination of benefits
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Drug Specific COB
Coordination of Benefits
Insurance Appeals
Prior Authorization
Test Claim Options
Additional Claims Data
Accounts Receivable
Patient Care Coordination
Referral workstage to coordinate care.
REFERRAL MANAGEMENT
Image Intake & Rx Entry
BenefitsVerification
Patient Care Coordination
Clinical Care Management Module
Functionality Elements
info
ScriptMed® Clinical Care Management tools provide the ability to systematically define, initiate, track, and enable patient interventions.
CLINICAL MANAGEMENT
Data Collect & Assessment
Clinical Timeline
Care Plan Creation
Data Collect & Assessment
Data collects and assessments are fully customizable
CLINICAL MANAGEMENT
Data Collect & Assessment
Clinical Timeline
Care Plan Creation
Clinical Summary
Clinical Timeline
Multiple workstreams to show patient history
CLINICAL MANAGEMENT
Data Collect & Assessment
Clinical Timeline
Care Plan Creation
Data Supplementation
Care Plan Creation
Generate custom care plans for patients and health care providers
CLINICAL MANAGEMENT
Data Collect & Assessment
Clinical Timeline
Care Plan Creation
Order Management
Functionality Elements
info
ScriptMed Cloud Order Management prioritizes orders, typically multiple prescriptions and supplies by “need date” and help manage exceptions through routing to work stages for resolution.
ORDER MANAGEMENT
Reorder Processing
BatchRefills
Pharmacist Verification
Manual Reorder Processing
Create manual orders for the patient in context
ORDER MANAGEMENT
Reorder Processing
BatchRefills
Pharmacist Verification
Reorders
Automated Batch Refills
Scheduled tasks reorder prescriptions based off of configured parameters
ORDER MANAGEMENT
Reorder Processing
BatchRefills
Pharmacist Verification
Pharmacist Verification
PV1 is an order stage where pharmacists perform checks on all new prescriptions to ensure all of the inputted information is accurate. PV1 allows pharmacists to update any inaccurate information and provide documentation as to why the information was changed.
ORDER MANAGEMENT
Reorder Processing
BatchRefills
Pharmacist Verification
Order Fulfillment Module
Functionality Elements
info
The ScriptMed® Order Fulfillment Module supports the process of prioritizing, picking, labeling, quality-checking, packing and shipping a prescription
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Item Picking
Order workstage where the technician picks the product and scans/enters the NDC for verification that the correct item was picked.
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Lot Tracking
Pharmacist Verification
PV2 is an order stage that occurrs after Picking. This stage allows pharmacists to perform a final verification check of the order.
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Order Packing
Order stage that allows for the final quality check to ensure that all items are placed into the package including medications, supplies and associated order documents.
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Group Order Management
Shipping & Will Call
Final Order stage where orders are shipped to patients
ORDER FULFILLMENT
Item Picking
OrderPacking
Shipping & Will Call
Inventory Management Module
Functionality Elements
info
The ScriptMed® Cloud Inventory Management Module has perpetual inventory functionality supporting the purchasing, stocking, and movement of drug product inventory from multiple suppliers and for multiple pharmacy locations.
INVENTORY MANAGEMENT
Item Maintenance
SupplyKits
Purchase Orders
Item Maintenance
Item inventory allows users to keep track of item information including:
INVENTORY MANAGEMENT
Item Maintenance
SupplyKits
Purchase Orders
Supply Kits
Supply Kit Management allows the association of one or more supply items to one or more medications
INVENTORY MANAGEMENT
Item Maintenance
SupplyKits
Purchase Orders
Purchase Orders
INVENTORY MANAGEMENT
Item Maintenance
SupplyKits
Purchase Orders
Contract Management
Functionality Elements
info
The ScriptMed® Cloud Contract Management Module handles contracting scenarios, establishing the appropriate billing requirements, pricing, terms, contact information, and configuration for payers, manufacturers and other partners.
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Contract Management
ScriptMed Cloud Contract Management Module is designed to handle multiple contracting scenarios, each managed through a process of establishing the appropriate billing requirements, pricing, terms, contract information and configuration. This module supports pharma contracts, managing specific work activities, data captures, workflows and service levels. This requires integration across multiple entities, this module helps manage those relationships to ensure success across all stakeholders.
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Pricing Elements
Designed to support configuration of price schedules on three levels, pharmacy, physician and patient, allowing for the input or automated loading of complex pricing structures.
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
New Contract Creation
Enables Contract Managers to add contract demographics, associated entities, and applied services to new contracts. Through this, users can ensure that contract information is documented accurately, and can be used for reporting and management of the contract.
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Pricing Elements
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Contract Details
Contract Demographics
Associated Entities
Applied Qualifiers
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Service Level Agreements
Associated Services pages within the Applied Qualifiers section allows a contract manager to make modifications. This includes adding/editing payment terms, Service Level Agreement (SLA) related to the service and adding or removing additional associated service options.
CONTRACT MANAGEMENT
PricingElements
Contract Details
Service Level Agreements
Revenue Cycle Management
Functionality Elements
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ScriptMed® Cloud offers a comprehensive Revenue Cycle Management Module with capabilities for pricing, billing, deposit, and payment processing for a patient’s medication, supplies, and services.
REVENUE CYCLE
MedicalBilling
Patient Collections
Unmatched Remits
Medical Billing Workflow
Pending Edit Workstage
Claim Edits Run Automatically
Auto-edits enabled?
All edits pass?
REVENUE CYCLE
MedicalBilling
Patient Collections
Exception Stage
Rollover Secondary Billing
Insurance Secondary Billing
Claim Reprocessing Requests
Payer Rejection
Edit Review
Unmatched Remits
Pharmacist Verification
Picking
Medical Billing
Automated medical billing based on data collected
REVENUE CYCLE
MedicalBilling
Patient Collections
Unmatched Remits
Patient Collections
Collections for outstanding invoices
REVENUE CYCLE
MedicalBilling
Patient Collections
Unmatched Remits
Unmatched Remit
Full remittance workflow
REVENUE CYCLE
MedicalBilling
Patient Collections
Unmatched Remits
Reporting & Visualization
Functionality Elements
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The ScriptMed® Cloud Reporting and Visualization Module provides data visualization and parameter-driven ad-hoc reports as well as schedule delivery of reports
REPORTING & VISUALIZATION
Work In Progress
Financial Reporting
Productivity Analysis
Clinical Work in Progress
REPORTING & VISUALIZATION
Managed Medicaid
Work In Progress
Financial Reporting
Productivity Analysis
Financial Reporting
ScriptMed Cloud provides real time financial reporting that can be both scheduled and generated on demand.
REPORTING & VISUALIZATION
Managed Medicaid
Work In Progress
Financial Reporting
Productivity Analysis
Referral Productivity Analysis
REPORTING & VISUALIZATION
Managed Medicaid
Work In Progress
Financial Reporting
Productivity Analysis
Order Turnaround Time
REPORTING & VISUALIZATION
Managed Medicaid
Work In Progress
Financial Reporting
Productivity Analysis
Infusion Management
Functionality Elements
info
The ScriptMed® Cloud Infusion Management Bundle supports specialty infusion, home infusion and ambulatory infusion patients.
INFUSION MANEGEMENT
Complex Drug Compounding
TPN Formula Management
DME Pump Rental, Sale & Service
Complex Drug Compounding
INFUSION MANAGEMENT
Complex Drug Compounding
TPN Formula Management
DME Pump Rental, Sale & Service
TPN Formula Management
Complex Drug Compounding
INFUSION MANAGEMENT
Complex Drug Compounding
TPN Formula Management
DME Pump Rental, Sale & Service
Infusion Schedule
INFUSION MANAGEMENT
Complex Drug Compounding
TPN Formula Management
DME Pump Rental, Sale & Service
Datastream and Inovalon Interoperability for Data
The Inovalon ONE:
Our Approach
Cloud Based EHR
Provider HIE
Direct Connect EHR
Inovalon ONE
ScriptMed Cloud
Clinical Intelligence
Data Filters Logic / Rules ML / NLP Calculations
CDEaaS
EHRInteroperability
API Gateway
Detail Summary Analytic
DDXaaS
CDR
MORE2 Registry
Claims
Authorized Data Retrieval
Clinical Protocol Content
The Clinical Program Subscription provides baseline intervention-based clinical protocols and content to facilitate best practice patient care management.
Data Access
ScriptMed Cloud Data Access provides visibility into the data ingested, produced, and stored as a result of using ScriptMed.
Protocol Builder
Design and optimize workflows and assessments.
Transaction Row
Decision Point
API Integrations
My Share
ScriptMed® MyShare is an online patient portal that allows for self-service, personalized patient engagement.
SMS Alerts
Partner Collaboration
ScriptMed® Partner Collaboration is a web-based portal that allows for secure, interactive patient care workflows to be established among pharmacies, physicians and other healthcare providers.
Nurse Scheduling and Resource Management
Improve Patient Outcomes
ProblemPayer Preferred Pharmacy Network Agreements and Pharma Limited Distribution Drug Agreements require specific patient care protocols and actions along with related service level agreements Solution ScriptMed provided customized clinical protocols configured (using ScriptMed Protocol Builder and Clinical Tools) to support the specific rules, workflows, data collection and data reporting requirements of each program.
Capabilities
Increase Patient Acquisition
Capabilities
ProblemUninformed and undifferentiated account reps calling on referral sources Solution Implement ScriptMed®’s Partner Collaboration with the sales team management features Result Improved partner relationships, incremental patient referrals to the pharmacy, and improved turnaround time on speed to therapy
Optimize Operations and Efficiency
Capabilities
ProblemHigh labor cost associated with routine reorder scheduling calls Solution Implemented ScriptMed® MyShare for digital self-service patient engagement for reorders Result Reduced approximately 25% of reorder scheduling calls resulting in labor cost savings, improved patient satisfaction, and improved SLAs
Secure Patient Data
ProblemSignificant time, effort, and cost to achieve HITRUST Certification to meet minimum criteria for potential Payer Preferred Pharmacy contracts Solution Implemented ScriptMed® Cloud Result Met and exceeded minimum requirement of HITRUST Certification for prospective payer contracts; multiple payer contract awards
Capabilities