Opioids Monitoring System - CRx MONITOR™
Could Doc UNVC be involved with this App falls in line with what Doc has been preaching.
EagleForce Health’s CRx MONITOR™ tracks Class II-Class V medications in real time through connections to pharmacies, healthcare providers, and health care settings across the nation. Our proven technology integrates with existing pharmacy transaction systems and workflow to monitor the complete lifecycle of the prescription “fill” process from auto-submission of a clean electronic prescription of Controlled Substances, to automated intake and screening. This real-time processing and safeguarding against fraud and abuse is capable of tracking beyond State borders and has the capability to identify and stop improper cash transactions.
CRx MONITOR™ provides real-time controlled substance abuse monitoring and alerting based on State by State Morphine Equivalent standards and established business rules. The system was developed as an extension of our nationally recognized Real-Time Benefits Investigation (RTBI) solution that interrogates medication transactions for both commercial and government insurance coverage. The CRx MONITOR ™ establishes a universal ID (Master Patient Index) using its proprietary advanced analytics methodologies to identify patients across disparate systems including the ability to cross reference name spelling variances. With our published and exposed API, Integration can occur at the point of prescription origination within the EMR or at the pharmacy. CRx MONITOR™ has an established connection to every retail pharmacy in the country. In addition, the EagleForce Health Attestation Center for Program Integrity™ (ACPI) is a separate system that introduces call center service operators who perform a real-time audit of the CRx MONITOR™ allowing pharmacists and providers to over-ride a rejection for legitimate Opioid prescriptions based on defined business rules (i.e. an authorized increase of prescription dosage).
CRx MONITOR™ Opioid Management Suite
REAL-TIME CONTROLLED PRESCRIPTION
MONITORING & AUTOMATED ALERT
MANAGEMENT SYSTEM OF OPIOID
PRESCRIPTIONS INCLUDING:
Real-Time Prescription Monitoring System (CRx MONITOR™)
Restricts Opioid Abuse at the Pharmacy and Prescribing Workflow
Attestation Center for Program Integrity Provides Real-Time Auditing
of the CRx MONITOR™ System
Persistent Inventory Management of Controlled Substance Inventory
Real-Time Cash Pay Transaction Monitoring
Real-Time Analytics Dashboard for Monitoring Provider & Pharmacy
Abuse Patterns
Automatic Registration and Report Generation of Provider and
Pharmacist DEA check of PDMP Registries
ABOUT US
EagleForce Health’s pedigree was established within the Intelligence, Defense and Homeland Security sectors and is
recognized as a leading technology solution’s company providing a broad range of eligibility systems development,
organizational and operational assistance to “Big Data” processing including interoperability, predictive analytics, and IT
functions. Our evidence-based eligibility & real-time monitoring systems have been deployed to solve some of the biggest
technology challenges in the world including direct support to pharmaceutical manufacturers and pharmacies specific to the
Federal Anti-Kickback Act.
CHALLENGE
Opioid diversion and abuse is a major public health issue in the United States. Expanding access to secure and vital information
and integrating disparate systems across the healthcare enterprise strengthens nationwide efforts to reduce opioid misuse,
fraud, and abuse.
PDMP INFORMATION IS FRAGMENTED AND INCOMPLETE
Independent state PDMP databases have limited access to medication history
REPORTING LATENCY
Current systems are updated typically days or more post transaction
CASH PAY TRANSACTIONS OFTEN GO UNDETECTED
Current systems lack interoperability for cash transactions
LIMITED eRx/ EHR INTEGRATION
No existing real-time alerts & support at point-of-prescribing
REPORTING TRANSPARENCY
Accountability for pharmacists and providers
OUR SOLUTION
EagleForce Health’s CRx MONITOR™ connects pharmacies, healthcare providers, and health care settings across the nation
without limitations to state borders. Our proven technology solution integrates with existing pharmacy and EMR solutions to
monitor the complete lifecycle, from auto-submission of a clean electronic prescription of Controlled Substances, to automated
intake and screening, real-time processing and safeguarding against fraud and abuse.
CRx MONITOR™ provides real-time controlled substance abuse monitoring and alerting based on your established company,
State and DEA business rules. The system was developed as an extension of our nationally recognized Real-Time Benefits
Investigation (RTBI) solution that interrogates medication transactions for both commercial and government insurance coverage.
The system establishes a universal ID (Master Patient Index) using its proprietary advanced analytics methodologies to identify
patients across disparate systems including the ability to cross reference name spelling variances. Integration can occur at the
point of prescribe within the EMR, a switch/hub or at the pharmacy. CRx MONITOR™ has an established connection to every
retail pharmacy in the country. In addition, the EagleForce Health Attestation Center for Program Integrity™ (ACPI) is a separate
system that performs a real-time audit of the CRx MONITOR™ allowing pharmacists and providers to over-ride a rejection for
legitimate Opioid prescriptions based on defined business rules (i.e. an authorized increase of prescription dosage)
ACCURACY
The CRx MONITOR™ is designed to deliver 97% Accuracy within 30 days of deployment. Through persistent Machine-Learning
Algorithms & Covered Entity Attestations, each day’s workflow is designed to end with 99.7% accuracy reconciliation.
HOW THE SYSTEM WORKS?
EagleForce Health leverages a universal super HL7 adapter to aggregate, integrate, normalize and analyze disparate clinical
and non-clinical patient data to establish a persistent Opioid SMART Registry™ that is updated in real-time. A universal ID
(Master Patient Index) is established across all data sources to determine frequency of Class II through V prescriptions written
and filled, including cash pay transactions, regardless of Provider, EMR or Pharmacy location. Opioid SMART Registry™
contains millions of patient attributes (data points) that are updated 6X per day and is complimented with machine learning
processes.
PERSISTENT & REAL-TIME
The CRx MONITOR™ system operates in real-time and provides answers within 20 milliseconds and is scaled to 1,200
simultaneous transactions, allowing for seamless integration within pharmacy and provider workflow. For those few transactions
that we might get wrong, our Attestation Center for Program Integrity™ (ACPI™) enables the Provider or Pharmacist, as a
covered entity, to verify prescribing information through a separate auditing software system to further verify any discrepancy
and updates the system within 30 milliseconds.
AUDIT READY
Audit Ready reports can be generated in minutes, not days, weeks or months. A Real-Time dashboard allows users to define
queries and see results immediately.
ECURITY
All data-at-rest and data-in-motion is secured and certified to HIPAA, NIST and other commercial standards and the Defense
Information Systems Agency (DISA) Standard Technical Implementation Guidelines at the secret level (STIG’s) & the NATO
International Health Information Exchange STANAG #2517.
SCALABLE
The EagleForce Health CRx MONITOR™ infrastructure is built to scale to the entire 295 million US opioid transaction volume.
OUR GUARANTEE
We guarantee the accuracy and reliability of our eligibility services by assuming the risk for any claim we process inaccurately
that results in a fine. We provide monthly reports which may be modified by the Vendor or Brand.
https://www.theeagleforce.net/docs/crx_monito...t_2018.pdf
EagleForce Health LLC
13241 Woodland Park Road, Suite 600
Herndon, VA 20171
Phone: (855)-481-2110
TOODLES
Could Doc UNVC be involved with this App falls in line with what Doc has been preaching.
EagleForce Health’s CRx MONITOR™ tracks Class II-Class V medications in real time through connections to pharmacies, healthcare providers, and health care settings across the nation. Our proven technology integrates with existing pharmacy transaction systems and workflow to monitor the complete lifecycle of the prescription “fill” process from auto-submission of a clean electronic prescription of Controlled Substances, to automated intake and screening. This real-time processing and safeguarding against fraud and abuse is capable of tracking beyond State borders and has the capability to identify and stop improper cash transactions.
CRx MONITOR™ provides real-time controlled substance abuse monitoring and alerting based on State by State Morphine Equivalent standards and established business rules. The system was developed as an extension of our nationally recognized Real-Time Benefits Investigation (RTBI) solution that interrogates medication transactions for both commercial and government insurance coverage. The CRx MONITOR ™ establishes a universal ID (Master Patient Index) using its proprietary advanced analytics methodologies to identify patients across disparate systems including the ability to cross reference name spelling variances. With our published and exposed API, Integration can occur at the point of prescription origination within the EMR or at the pharmacy. CRx MONITOR™ has an established connection to every retail pharmacy in the country. In addition, the EagleForce Health Attestation Center for Program Integrity™ (ACPI) is a separate system that introduces call center service operators who perform a real-time audit of the CRx MONITOR™ allowing pharmacists and providers to over-ride a rejection for legitimate Opioid prescriptions based on defined business rules (i.e. an authorized increase of prescription dosage).
CRx MONITOR™ Opioid Management Suite
REAL-TIME CONTROLLED PRESCRIPTION
MONITORING & AUTOMATED ALERT
MANAGEMENT SYSTEM OF OPIOID
PRESCRIPTIONS INCLUDING:
Real-Time Prescription Monitoring System (CRx MONITOR™)
Restricts Opioid Abuse at the Pharmacy and Prescribing Workflow
Attestation Center for Program Integrity Provides Real-Time Auditing
of the CRx MONITOR™ System
Persistent Inventory Management of Controlled Substance Inventory
Real-Time Cash Pay Transaction Monitoring
Real-Time Analytics Dashboard for Monitoring Provider & Pharmacy
Abuse Patterns
Automatic Registration and Report Generation of Provider and
Pharmacist DEA check of PDMP Registries
ABOUT US
EagleForce Health’s pedigree was established within the Intelligence, Defense and Homeland Security sectors and is
recognized as a leading technology solution’s company providing a broad range of eligibility systems development,
organizational and operational assistance to “Big Data” processing including interoperability, predictive analytics, and IT
functions. Our evidence-based eligibility & real-time monitoring systems have been deployed to solve some of the biggest
technology challenges in the world including direct support to pharmaceutical manufacturers and pharmacies specific to the
Federal Anti-Kickback Act.
CHALLENGE
Opioid diversion and abuse is a major public health issue in the United States. Expanding access to secure and vital information
and integrating disparate systems across the healthcare enterprise strengthens nationwide efforts to reduce opioid misuse,
fraud, and abuse.
PDMP INFORMATION IS FRAGMENTED AND INCOMPLETE
Independent state PDMP databases have limited access to medication history
REPORTING LATENCY
Current systems are updated typically days or more post transaction
CASH PAY TRANSACTIONS OFTEN GO UNDETECTED
Current systems lack interoperability for cash transactions
LIMITED eRx/ EHR INTEGRATION
No existing real-time alerts & support at point-of-prescribing
REPORTING TRANSPARENCY
Accountability for pharmacists and providers
OUR SOLUTION
EagleForce Health’s CRx MONITOR™ connects pharmacies, healthcare providers, and health care settings across the nation
without limitations to state borders. Our proven technology solution integrates with existing pharmacy and EMR solutions to
monitor the complete lifecycle, from auto-submission of a clean electronic prescription of Controlled Substances, to automated
intake and screening, real-time processing and safeguarding against fraud and abuse.
CRx MONITOR™ provides real-time controlled substance abuse monitoring and alerting based on your established company,
State and DEA business rules. The system was developed as an extension of our nationally recognized Real-Time Benefits
Investigation (RTBI) solution that interrogates medication transactions for both commercial and government insurance coverage.
The system establishes a universal ID (Master Patient Index) using its proprietary advanced analytics methodologies to identify
patients across disparate systems including the ability to cross reference name spelling variances. Integration can occur at the
point of prescribe within the EMR, a switch/hub or at the pharmacy. CRx MONITOR™ has an established connection to every
retail pharmacy in the country. In addition, the EagleForce Health Attestation Center for Program Integrity™ (ACPI) is a separate
system that performs a real-time audit of the CRx MONITOR™ allowing pharmacists and providers to over-ride a rejection for
legitimate Opioid prescriptions based on defined business rules (i.e. an authorized increase of prescription dosage)
ACCURACY
The CRx MONITOR™ is designed to deliver 97% Accuracy within 30 days of deployment. Through persistent Machine-Learning
Algorithms & Covered Entity Attestations, each day’s workflow is designed to end with 99.7% accuracy reconciliation.
HOW THE SYSTEM WORKS?
EagleForce Health leverages a universal super HL7 adapter to aggregate, integrate, normalize and analyze disparate clinical
and non-clinical patient data to establish a persistent Opioid SMART Registry™ that is updated in real-time. A universal ID
(Master Patient Index) is established across all data sources to determine frequency of Class II through V prescriptions written
and filled, including cash pay transactions, regardless of Provider, EMR or Pharmacy location. Opioid SMART Registry™
contains millions of patient attributes (data points) that are updated 6X per day and is complimented with machine learning
processes.
PERSISTENT & REAL-TIME
The CRx MONITOR™ system operates in real-time and provides answers within 20 milliseconds and is scaled to 1,200
simultaneous transactions, allowing for seamless integration within pharmacy and provider workflow. For those few transactions
that we might get wrong, our Attestation Center for Program Integrity™ (ACPI™) enables the Provider or Pharmacist, as a
covered entity, to verify prescribing information through a separate auditing software system to further verify any discrepancy
and updates the system within 30 milliseconds.
AUDIT READY
Audit Ready reports can be generated in minutes, not days, weeks or months. A Real-Time dashboard allows users to define
queries and see results immediately.
ECURITY
All data-at-rest and data-in-motion is secured and certified to HIPAA, NIST and other commercial standards and the Defense
Information Systems Agency (DISA) Standard Technical Implementation Guidelines at the secret level (STIG’s) & the NATO
International Health Information Exchange STANAG #2517.
SCALABLE
The EagleForce Health CRx MONITOR™ infrastructure is built to scale to the entire 295 million US opioid transaction volume.
OUR GUARANTEE
We guarantee the accuracy and reliability of our eligibility services by assuming the risk for any claim we process inaccurately
that results in a fine. We provide monthly reports which may be modified by the Vendor or Brand.
https://www.theeagleforce.net/docs/crx_monito...t_2018.pdf
EagleForce Health LLC
13241 Woodland Park Road, Suite 600
Herndon, VA 20171
Phone: (855)-481-2110
TOODLES
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