Re: Prescription Drug Management
Postby Shannon DeConda » Thu Jul 17, 2014 7:02 pm
Thank you but found this:
Prescription drug management has to do with drugs that can only be attained through a physician order (prescription) and are managed by the physician. The physician assigns a liability and amount of responsibility to assess for patient risk when a patient receives these medications, therefore a higher level is warranted with moderate risk. Over-the-counter medications, even at a prescription dose, are still a lower level of risk based on the classification and management process of the medication. The fact that a prescription was written for an over-the-counter medicine is not enough to warrant it as prescription drug management. This also applies to medications where the insurance will pay if a prescription is written; the logistics of writing an Rx alone do not allow for the consideration of this drug as prescription management. Review the documentation content for an actual management process. If the provider gives the patient a prescription for Prilosec to "manage" their chronic upper gastric complaints, there is management involved and not merely script writing. Be sure to evaluate the records thoroughly and not just automatically give credit for all prescriptions written.
Per the NAMAS medical auditing tip by our team mate sara san pedro written on 6-13-2014
Thank you,
Shannon O. DeConda, CPC, CPC-I, CEMC, CMSCS, CPMA, CMPM, CPMN
Founder & President of NAMAS