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Category Archives: Pharmacy Benefit Management (PBM)

Technological Help for Pharmacy, by Techcusp.com

Posted on April 22, 2015 | Categories: Analytics, Consulting, HealthCare IT, Mobile Apps, Pharmacy Benefit Management (PBM) | Posted by: admin

Technological Help for Pharmacy, by Techcusp.com

 

Since the advent of ACA – Affordable Care Act, the world of Pharmacy has changed 360. The entire eco-system of Payers, Providers, PBMs, etc has been impacted owing to compliance and new business rules.

 

Whether the context is:

  • Health Exchanges.
  • Electronic Health Records.
  • HEDIS Star Rating.
  • Reimbursements.
  • Wellness.
  • CPT codes.
  • Interoperability.
  • Billing.
  • Claims.
  • Informatics.
  • Analytics.
  • Mobile Health.

 

The Health and Pharmacy IT Services are challenging status quo to make HealthCare more affordable, reachable and compatible.

We at Techcusp have deep capabilities for Pharmacies or Speciality Pharmacies from Software Development / IT Services point-of-view.

 

Our Services governs the following:

  • Custom Dashboard:  Reports / Audit Tools to meet Payers or PBMs Contract.
  • Clinical Services: Disease Management, Medication Therapy Management (MTM).
  • PortalMember Portal, Wellness Portal.
  • Mobile Apps: Enterprise Services, Platform Services.
  • ConsultingProgram Management, Project Management.
  • Custom Software Development: Application Development, Testing&Maintenance.
  • ePrescribe (EPCS / eRx) System Integration: DrFirst Rcopia & Gold, Allscripts (SCM, Touchworks, EDIS).
  • Cerner Registration System – Interface & Integration: Invision, Sorian.

 

We at TechCusp.com have deep HealthCare domain knowledge in both Payer & Provider space to manage your growing business & operational needs. Our software engineers and consultants are on stand-by to help you deliver your IT vision & projects.

 

So, may I Invite you for a quick discussion on how Techcusp could help?

 

 

Contact

Debanuj Sengupta

Manager Sales – HealthCare IT

Debanuj@Techcusp.com

Phone: +1 646.644.3049 / 201.258.4704

www.TechCusp.com

Insurance IT | HealthCare IT | Banking IT | Staffing

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Pharmacy Benefit Management (PBM) Software by Tech Cusp

Posted on December 7, 2014 | Categories: Apps, Pharmacy Benefit Management (PBM), Tech Cusp, TechCusp.com, Technology Stacks | Posted by: admin

Pharmacy Benefit Management (PBM) Software by Tech Cusp

 

 

We are custom Pharmacy Benefit Management (PBM) Software Company based out of Jersey City, NJ. We never look at projects and implementations in a vacuum, but consults with clients to make sure it fits in with their overall strategic vision. We will custom build your PBM Software to cover DISPENSING, TRACKING, BILLING, AND REPORTING. The provided software can interface with the EHR/EMR/Care Management or Disease Management systems. Our ground-up or enterprise software will be able to successfully automate dispensing, tracking, reporting, accounts receivable, claims reconciliation and claims adjudication for all medications dispensed. The information management system permits signature capture, pill imaging, bar code, Price Updates, Clinical Database updates and access to web server for daily medication price updates and real-time drug database updates.

 

 PBM Software Features to be custom built by Tech Cusp

 

PBM Reports

 

  • Adjustment to Sales
  • drug expiration
  • drug recall
  • drug tracking
  • drug utilization
  • drug utilization by payer type
  • drugs – daily usage
  • drugs – top selling
  • drugs not updated
  • generic exception
  • inventory control listing
  • non-billed Rx doctor drug- monitoring
  • patient third party list
  • price (special) print-out
  • price update report by date
  • print alpha patient profiles
  • Productivity
  • Rx cash audit

 

PBM End of Day Reports

 

  • class II log
  • controlled substance log
  • controlled substance refill log
  • daily backup
  • daily Rx log
  • ECS register
  • NDC index create program
  • non-controlled refill report
  • rebilled Rx log
  • Rx cash audit

 

Maintenance and Support (AMC) – Warranty; Training; Source Code

 

 

  • Maintenance and support will be furnished on a “turnkey” basis – i.e. contractually responsible for all maintenance and support services for all elements of the System, including but not limited to all software and any data transport services that are mentioned under the contract (MSA/SOW), and will be the single point of contact for service and support
  • Per MSA/ SOW, the user training and other training services will be provided
  • Per MSA/SOW we will deliver and ownership of the source code to the client, including complete documentation and specifications
  • The Client can expect that source code, including complete documentation and specifications, will be deposited in escrow, at no expense to the Client and on terms satisfactory to the Client, with regular updates of the deposited code and documentation to reflect enhancements, upgrades, updates, and corrections to the software
  • The warranty covers the entire System, including all software, other deliverables, design, implementation/integration and other services required under the Contract

 

 

Why Techcusp.com?

 

  • Deep Domain Knowledge
  • Agile Development Methodology
  • Competitive Pricing
  • Onshore/Offshore Development
  • Quality Delivery

 

About Techcusp

 

 

 

 

Contact us 

 

Mihir Desai

Partner

mihir@techcusp.com

Phone: +1 201.258.4704 / +1 646.479.9539

www.TechCusp.com

Insurance IT|HealthCare IT|Banking IT

 

Potential Candidates, leave your resume here – http://www.techcusp.com/get-a-quote.php

Potential Clients, Leave your requirements here – http://www.techcusp.com/get-a-quote.php

 

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IT Staffing Services by Techcusp.com

Posted on December 5, 2014 | Categories: Analytics, Banking/Fs, Business Analyst, Consulting, Database, Employee Benefits, Health Cusp, Identity Management, ISVs, IT Services, Pharmacy Benefit Management (PBM), Risk & Compliance, Software Development, Tech Cusp, TechCusp.com, Technology Stacks, Website Development | Posted by: admin

IT Staffing Services by Techcusp.com

 

We are Technology Consulting and IT Staffing Services firm based out of Jersey City, NJ. We never look at projects and implementations in a vacuum, but consults with clients to make sure it fits in with their overall strategic vision. Our Consultants have deep exposure & understanding of Software Development and Technology Services. Reach out to us for our seasoned & domain rich IT Consultants for short-term or long term Projects on W2/C2C basis.

 

 

IT Professional Services (Staff Augmentation / Consulting) by Techcusp

 

  • Application Analyst / Developer – Design, develop, and deliver technology solutions across various technology platforms
  • Business Analyst – Bridging the business needs of Client with the various technology & workflow solutions. Ability to take domain / industry knowledge and determine best management practices for implementing technology
  • Data Analyst / Architect – responsible for analyzing large amounts of structured and unstructured data to find patterns, develop data visualizations, and other tools to transform data into knowledge that can drive utility
  • Database Administrator – Responsible for the design, implementation, and management of structured and unstructured databases. Responsible for the protection and integrity of utility data performance, cost savings, or efficiencies
  • Project Manager – Manage technology projects of various magnitudes in the delivery of business changes enabled by technology solutions
  • Systems Engineer – Responsible for the design, implementation, and management of technology resources in support of client’s applications and services
  • Technology Strategist / Architect – This role delivers important outcomes at each stage of the business and technology strategy process
  • Testing Lead / Analyst – Responsible for the planning, execution, and management of software testing in support of the delivery of technology solutions

 

Techcusp IT Consultants – Profile / Resumes

 

Technology Architects by Techcusp.com

 

  • Creative and innovative
  • Deep knowledge of recommended Technology, IT Platform and market adaptability
  • Excellent communication skills and ability to facilitate workshops and meetings
  • Excellent understanding of the concepts of enterprise architecture
  • Experience in leading transformational business change
  • Strengths are in business as well as technical orientation

 

Project Managers

 

  • Experience with best management practices for the industry
  • Feasibility studies and Business case development
  • Project charter development
  • Project execution and monitoring tools and techniques to deliver projects on time, within budget, for the agreed deliverables
  • Project planning, scheduling, estimating costs, estimating resources and scope development
  • Vendor management

 

Application Developers by Techcusp.com

 

  • Best practices in application development, testing, and implementation methods
  • Business requirements gathering
  • Detail oriented and strong problem solving skills
  • Experience with web development, service oriented architecture (SOA), and integration techniques
  • Functional design development
  • Technical design development

 

Business Analysts by Techcusp.com

 

  • Ability to bridge the business needs and changes with technology solutions to enable the expected change
  • Business process redesign experience, tools, and techniques
  • Business requirements gathering
  • Excellent customer service skills
  • Excellent oral and written communication skills
  • Functional requirements development
  • Software application configuration, testing, data analysis, etc.
  • Understanding of the wastewater and storm water industry and business functions
  • Work with technical staff to develop technology solutions to meet business requirements

 

Database Administrators by Techcusp.com

 

  • Database backup and data security methodologies
  • Database installation, access control, sizing, configuration, performance tuning, and monitoring
  • Detail oriented and strong problem solving skills
  • Disaster recovery methodologies
  • Excellent knowledge of Microsoft SQL Server
  • Experience with emerging database technologies: Hadoop, Splunk, Mango DB, SPSS etc.
  • Experience with structured and unstructured databases

 

 

Systems Engineers / Network Engineers by Techcusp.com

 

  • Access Management
  • Identity Management
  • Backup and recovery methodologies
  • Call Center Technologies
  • Data Center Technologies
  • Enterprise storage solutions
  • Experience with VoIP, QoS, video, and other bandwidth intense services
  • Install and configure networking hardware and software
  • Security methodologies including working with firewalls, routers, access control, monitoring, remediation, etc.
  • Server virtualization installation, configuration, and support
  • Understanding of server operating systems and environments
  • Working knowledge of public and private cloud resources and services
  • Knowledge of all aspects of network connectivity: wired, wireless, remote access, etc.

 

Testing Lead / Analyst

 

  • Analytical skills
  • Automation Testing
  • Defining test criteria based on business requirements
  • Detail oriented and strong problem solving skills
  • Develop testing approach and testing plans
  • Monitoring test coverage and overall quality of testing
  • Tracking software defects
  • User Acceptance Testing (UAT)

 

Data Architects / Data Scientists by Techcusp.com
Ability to communicate findings in presentations and through data visualization

  • Ability to translate large amounts of data into actionable knowledge
  • Big Data – Meta Data, BI, Analytics, PA, DW experience
  • Excellent analytical skills
  • Experience with predictive analytics and pattern recognition
  • Knowledge of software engineering techniques and writing quality code
  • Strong math and statistics skills
  • Working knowledge of tools and methods for analyzing structured and unstructured data

 

 

Soft Skills

 

  • Deep domain knowledge and experience of Insuramce, HealthCare & Banking space
  • Deep domain knowledge and SDLC experience
  • Deep domain knowledge and experience of Agile Methodology

 

Why Techcusp?

 

  • American firm based out of New Jersey
  • Attractive Pricing
  • Cutting-edge Technology Consultants
  • Domain knowledge
  • Onshore/Offshore Delivery

 

 

Contact

 

Aradhana Khandekar

Partner – Consulting & Staffing

aradhana@techcusp.com

+1 914-703-1762 / 201.604.3480

www.TechCusp.com

Insurance IT|HealthCare IT|Banking IT

 

 

 

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Specialty Pharmacy Technology Solutions by Techcusp

Posted on November 29, 2014 | Categories: PBMs, Pharmacy Benefit Management (PBM) | Posted by: admin

Specialty Pharmacy Software Solutions by Techcusp

 
Specialty Pharmacy is our sweet spot thus we understand its workflows, IT, Software and Reporting needs quite well. Call or Write to us for Comprehensive Technology Solutions for:

 

  1. Software for Specialty Pharmacy
  2. Specialty Pharmacy Reporting Software (SPSS)
  3. Dashboard for Specialty Pharmacy
  4. PBM Audit Tool
  5. Contract Reporting
  6. Medication Theraphy Management
  7. Disease Management
  8. Mobile Apps

 

Specialty Rx Dashboard – Reports

 

Our Custom Software (Desktop) or Cloud Based HIPAA compliant Software (SPSS) will give you following or more reports

  • Eligible Person Compliance Reporting
  • Quarterly Biotech Reporting
  • Specialty Drug Compliance Reporting
  • Therapeutic Category Compliance Reporting
  • Utilization Reporting-Disease State ICD9 Code
  • Utilization Reporting-Prescriber Report
  • Utilization Reporting-Specialty Drug
  • Utilization Reporting-Therapeutic Category

 

About Techcusp

 

  

Contact us

 

 

 

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Medication Therapy Management Software (MTMS) by Techcusp.com

Posted on November 21, 2014 | Categories: HealthCare, Medicare, PBMs, Pharmacy Benefit Management (PBM), Tech Cusp, TechCusp.com | Posted by: admin

Medication Therapy Management Software (MTMS) by Techcusp.com

 

Techcusp (via Portal www.HealthAnalytical.com ) analyzed the whole process to understand the practices, implications and short-falls of the MTM processes in operation and taking guidance from the CMS requirements, a new optimized process for MTM Program was designed and implemented through proprietary MTM software called MTM System. This system is intended at optimizing therapeutic outcomes thus promoting safe and effective use of medications which can lead to overall reduction in health care expenditure both for the beneficiary as well as the PDP/PBM/Rx.

 

MTM – the Benefits

 

  • Optimize therapeutic outcomes for targeted beneficiaries through improved medication use by identifying/reporting and helping to resolving drug abuses
  • Reduces the risk of adverse events by identifying potential adverse drug events, reporting them to providers involved and help to avoid adverse events.
  • Is coordinated with any care management plan established for a targeted individual under a chronic care improvement program (CCIP)
  • Ability to identify and qualify patients for drug monitoring programs
  • Is coordinated with any care management plan established for a targeted individual under a chronic care improvement program (CCIP)
  • Reduces the risk of adverse events
  • Scripted interactive interventions based on established rules

 

MTM Software (MTMS) – Features

 

  • Automated calendaring of the assessment task based on drug or manufacturer criteria
  • Automated clinician assignment for additional patient evaluations activated by patient assessment answers
  • Automatically assign risk stratification to the patient based on assessment timing and questions
  • Business intelligence reporting tool for ad hoc and immediate reporting capability, along with canned reports
  • Capture complete patient history for assessment questions and answers
  • Real-time monitoring dashboard for proactive management approach
  • System based Drug conflicts avoidance approach – Algorithm driven automatic Identification of Drug conflicts like:

■Drug-Drug Interactions

■Therapeutic Duplications

■Drug-Allergy Interactions

■Drug-Disease Interactions

■Beers’ Alerts

■Adverse Drug Reactions

■Dosage/Compliance Alerts

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425 Washington Blvd.,
Jersey City, New Jersey 07302, USA

Phone: +1 201.258.4704
Fax: +1 201.604.3480
E-mail: Contact@TechCusp.com

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