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CMS regulations on the organization and submission of medication information are complex & uncompromising. For many healthcare companies, the PDE regulations require a significant investment in time and effort.

SeniorScript clients enjoy an unmatched level of support to meet CMS policies. We automatically categorize each prescription by drug status code, tagging each med according to its status as OTC, Medicare Part B, Part D, & so forth. We conduct routine clinical reviews to ensure accurate drug status, once confirmed the data is configured into the PDE format. All claims are automatically screened for:


  • Formulary compensability

• Quantity dispensed

• Early refills

• Authorized physicians

• Therapeutic duplication

• Generic substitution

• High dosage Or other specific guidelines as necessary

We can provide formatted PDE data for you to submit, or submit the PDE for you directly to CMS via secure link.

 

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1460 Ann Street • Montgomery, AL 36107 • P (877) 409-2811 • F (877) 409-2911info@seniorscript.com

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