Medicare Part D Electronic Prescribing

Posted on April 17, 2008 by Dr. David Edward Marcinko MBA MEd CMP™

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New Four Part Standards

[By Staff Writers]

The Centers for Medicare & Medicaid Services [CMS] finally published regulations which establish Part D electronic prescribing standards for four types of information: 

  • formulary and benefits,
  • medication history,
  • fill status notification, and
  • identification of individual health care providers.

All Need Not Comply

Drug prescribers, dispensers and plan sponsors are not required to implement e­-prescribing under Part D.

But, those who do must comply with the new Medicare standards when using e-prescribing to send prescriptions and prescription related information for covered drugs prescribed for Part D eligible individuals.

Assessment

These new standards supplement the 2006 “foundation” standards that first addressed the exchange of Part D information related to eligibility inquiries and responses; new prescriptions; and changes, renewals, and cancellations of existing prescriptions; according to the Health Industry Watch, in Washington, DC.

Conclusion

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On Physician Peer Review

Posted on April 17, 2008 by Dr. David Edward Marcinko MBA MEd CMP™

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New Era Risks

By Dr. David Edward Marcinko; MBA, CMP™

[Publisher-in-Chief]insurance-book

The Center for Peer Review Justice is a group of physicians, podiatrists, dentists and osteopaths who have witnessed the perversion of medical peer review by malice and bad faith.

Raison D’etre

Like the American Association of Neurological Surgeons [AANS], they have seen the statutory immunity, which is provided to “peers” for the purposes of quality assurance and credentialing, used as cover to allow those “peers” to ruin careers and reputations to further their own, usually monetary agenda of destroying the competition.

Cause and Goals

Therefore, the group is dedicated to the exposure, conviction, and sanction of doctors, and affiliated hospitals, HMOs, medical boards, and other such institutions, that would use peer review as a weapon to unfairly destroy other professionals.

Assessment

www.PeerReview.org is a rallying point and resource center for any medical professional that finds himself in the midst of an unfair and bad faith attack by unethical, malicious “peers”.

Conclusion

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