Your Managed Care customers send you rebate invoices and substantiate them with script-level data.
This script-level data frequently contains Individually Identifiable Health Information (also known as Protected Health Information or “PHI”).
Even having that PHI in your office opens the door to HIPAA Privacy Rule obligations and exposure, regardless of the measures you take to safeguard it.
We fulfill these obligations and eliminate the risk to you:
Your customers are the HIPAA-Covered Entity.
We become their Business Associate.
Your customers send the script-level that may contain PHI to us.
Under a Business Associate agreement with your customers, we provide assurance that we will safeguard the PHI.
We safeguard the original data.
We de-identify the Individually Identifiable Health Information, and give you guaranteed un-decodable "SER-codes" in its place. These SER-codes are data values that work the same way as the original data - but without the Protected Health Information.
You can still perform the same statistical analyses, scrubbing, and claim disputes.
We re-identify the data if you ever need us to. If we do, we give the original PHI only to your customer, so that you continue to be exempt from the HIPAA obligations.
We automate the entire rebate claim process.
As a separate service, we can take the data processing element out of your rebate processing.
We email you the scrubbed rebate analysis.
You review it.
You approve it on the spot.
It gets imported into your A/P system automatically, so the check gets out fast, and your customers are satisfied.
We offer high tech solutions without the cost.
There is no need to buy additional hardware.
No need to license additional software.
No need to train personnel on cumbersome third party software.
No need to hire additional technical personnel.
Bottom line, you don't have to manage any technology at all.
Implement one contract as a pilot to see how you like it.
We are confident that once you see how smoothly that pilot runs, you will implement the rest.
We analyze Compliance and Persistency data.
Are you running a patient-focused or MTM program? How well is it working for you?
Contact us for an impartial opinion.
Are you thinking about running such a program? What kind of lift do you expect?
Out of what kind of tactics?
Over what time horizon?
Contact us for an independent opinion.
