eprescribe controlled substances with ease

Presentation

@Joe_Martin01 CureMD Premium ServicesPresenter: Joe Martin

Controlled SubstancesWith Ease

ePrescribe

Agenda

EPCS and its necessity?

Legal & Social Implications

Requirements

EPCS Enrollment Process

How to e-prescribe controlled substances with CureMD

Poll Question 1

How many controlled substances prescriptions do you send out on an average every

month?

NONE

5 OR LESS

BETWEEN 10 & 25

MORE THAN 25

What is EPCS?

EPCS provides practitioners with the option of sending prescriptions for controlledsubstances electronically (Schedule II to Schedule V). It also permits pharmacies

to receive, dispense, and archive these electronic prescriptions. The rule waspublished on March 31, 2010 and became effective on June 1, 2010.

Why EPCS?

90 % of all doctors prescribe controlled substances

EPCS is now approved across all states apart from Missouri

Schedule II to V can be ePrescribed in all States (Vermont only allowsSchedule III to V)

Compliance with all federal and state level regulations

Decreases time and cost, increases accuracy, and prevents misuse

Start ePrescribing Controlled Substances to go completely paperless

Minimize your workload by adopting to the new technology right nowrather than waiting for further legislative obligations (MU3, ICD-10 etc.)

ICD-10 will have its own set of major changes that will deter your switchto electronic prescriptions

PMP & PDMP

ROPES Registration (NYS only)

All major retail pharmacies are EPCS ready!

PROBLEM ?

09

EPCS Pharmacies % by State

Source: Dr First May 2015


The PROBLEM: Addiction to prescription drugs and deaths from overdoses

Drug overdose deathsin New York have risen

56% since 1999

Nationwide, drug overdosewas the leading cause ofdeath from injury in 2012

Most drug overdosedeaths (53%) are caused

by prescription drugs

53%

Each month, 6.2 millionAmerican adults use prescription

drugs non-medically

Deaths from opioid pain reliever overdoses are four times the rate of heroin and cocaine deaths combined and, as a percentage of total prescription drug overdoses, are up: for women since 1999 for men since 1999

6.2 million56%

Each day,46 Americans

die from an overdoseof prescription

painkillers

Source: Dr First


New York Fights BackAs part of the Internet System for Tracking Over-Prescribing (I-STOP) Act, all New York practitioners, pharmacists and other individualsauthorized to prescribe, administer or dispense controlled substances will be required to:

Beginning March 27, 2016, electronically prescribe legend drugs (eRx) and controlled substances (EPCS)

As of August 27, 2013, check the New York prescription monitoring program (PMP) before prescribing Schedule II – IV controlled substances

How Can the PMP and E-Prescribing Help? Checking PMP and using electronic prescribing systems streamline clinical work�ows and provide critical security measures designed to:

Prevent Prescription Drug Abuseby making it easy to spot

overprescribing

Prevent “Doctor Shopping”by making it easy to see a patient’scontrolled substance prescriptions

from other providers

Prevent Prescription Fraudby eliminating paper prescription

pads that can be stolen, altered or forged

In 3 years,up to 1.4 million

Rx pads were stolen from NY

hospitals

Source: Dr First


facilities with e-prescribing capabilities by March 27, 2016. As of January 1, 2015:

New York’s healthcare IT software vendor community is moving quickly to enable providers, pracices, hospitals and extended care

Ambulatory EHRs serving 77% of NY providers are on target to support eRx and EPCS, including leading systems

Acute EHRs serving 85% of NY hospitals are on target to support eRx and EPCS

of NY pharmacies are EPCS-ready86%

of NY pharmacies are eRx-ready97%80%

85%

Source: Dr First

EPCS Requirements

All physicians or NP/MA with DEA can ePrescribe CS

Strict Identity Proofing (IDP)

Two Factor Authentication Process

EPCS administrator should be assigned in practice

EPCS Enrollment Process7 steps:

Registration for EPCS

Con�rmation Letter from Experian

Email Invite from DrFirst

IDP

Two Factor Authentication

Activate EPCS

Logical Access Control

IDP Transaction ID

IDP & Two Factor Authentication

Registration with Dr First

IDP through Experian®

IDP process help Video

Two Factor Authentication

No e�ect on Credit Score

IDP cannot be performed if your pro�le is locked!

Provider name should match in NPI Registry and Experian Pro�le

Security Code & Passphrase

Smart phone or token device can be used

PC/Laptop are not allowed

2 types of Token Devices

Soft Token Hard Token

VSMT46618564Credential ID

216154

28

Symantec VIP

Security Code

Which token device would you prefer to use for Two Factor Authentication?

Poll Question 2

Mobile device (Soft token)

Key chain device (Hard token)

Both

IDP & Two Factor Authentication

Contact Premium Services team for EPCS activation.

Note:

The user won’t be able to access the EPCS Logic Access Control Screen without the

EPCS Activation option available on the CureMD application. Please contact Support for

further assistance.

Enabling EPCS

The following steps should be followed to activate EPCS for a provider successfully.

1- Enter NPI number for that provider and click on Validate

2- Select the device. If the VIP access application is installed on the phone, the

eRx Admin needs to select it from the dropdown menu

4- Finally, the eRx Admin needs to enter the 6-digit OTP code that can be

viewed on a smart phone [iOS or android] or through a hard token device

3- Enter the passphrase that was created during the identity proo�ng process

Authorizing a Prescriber

Authorizing a Prescriber

To e- prescribe a new controlled substance via EPCS service, the prescriber needs to

select a drug and ful�ll the following criteria:

The drug should be a controlled substance

Appropriate �elds should be entered

Pharmacy should be CS enabled!

ePrescribing Controlled Substances


After documenting all the

details, the prescriber needs

to click on the eRx button at

the bottom of the screen.

A prescription preview screen will appear; the prescriber needs to click “OK” on it.


Once the prescriber clicks on the eRx button on the prescription screen, the system

will redirect to the signing in screen. Here the prescriber ID is veri�ed via a Two

Factor Authentication process.

Two Factor Authentication process

Two Factor Authentication process

After that, the prescriber has to click on Sign and Send button. Now, the status of the

prescription shall change to “Queued”.

Status of an ePrescribed Controlled Substance

After two or three minutes the “queued” status of the prescription will be updated to “Sent”.

Status of an ePrescribed Controlled Substance

Application Workflow

EPCS Demonstration on the CureMD Application

Q & A Session

Next Webinar

Application for ICD-10Jumpstart your CureMD

Aug 6, 2015 2:00 PM

Must attend for all physicians and practice managers

Thank you!

To find out more, please email [email protected]

ICD10 Consultation ServiceCredit Card Processing ServiceeFax Claim Scrubber

Look out for our email, containing the webinar recording.

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