1. Pilot of NCPDP Pharmacist Care Plan Announced

    The joint NCPDP-HL7 Pharmacist Care Plan C-CDA is the subject of an Office of the National Coordinator for Health Information Technology (ONCHigh Impact Pilot (HIP) being initiated through partnership with Community Care of North Carolina (CCNC) using funding from the Centers for Medicare and Medicaid Innovation (CMMI) to test new reimbursement models for community pharmacies serving Medicaid, Medicare, dually eligible, and NC Health Choice beneficiaries. Six vendors are participating in the pilot covering services to a population of over three million Medicaid, Medicare, and dual-eligible beneficiaries. To read the press release announcing the pilot, click here.

    Read More

  2. Billing Unit Change to ProstaScint®

    PROSTASCINT® Kit for the Preparation of Indium In 111 Capromab Pendetide (NDC 57902-0817-010) currently listed with a billing unit of “each”, will be listed with a billing unit of “ML” by the Drug Compendia effective with each compendium’s quarterly release update files for the end of September 2016 or the start of October 2016. Please contact your drug compendia to obtain the specific date of their file change. This change in billing unit conforms with the NCPDP Billing Unit Standard (Section 5.2.2 and 5.2.9). 

    Read More

  3. Improving Specialty Pharmacy Speed to Therapy

    The complex specialty pharmacy ecosystem relies on antiquated, redundant, and inefficient communication via paper, phone and fax. The lack of consistency and agreement in the industry as to terminology and definitions, often leads to multiple approaches to administration of specialty pharmacy programs and benefits and impedes speed to therapy by days, and sometimes weeks.

    Read More

  4. June 2016 CORE Code Combinations v3.3.0 Available

    The June 2016 updated version of the CORE-required Code Combinations for the CORE-defined Business Scenarios (i.e. CORE Code Combinations) is now available for use with the CAQH CORE 360: Uniform Use of CARCs and RARCs Rule and includes:

    • Compliance-based Adjustments as a result of code list updates published on March 1st.
    • Market-based Adjustments in response to the 2015 Market-based Review. 

    Read More

  5. ASC X12N's Public Comment Period Timeline

    ASC X12's Insurance Subcommittee (X12N) released a revised schedule of planned public review and comment periods for the 7030 counterparts to the HIPAA-adopted transactions and related Type 3 Technical Reports (TR3s).

    Read More

For problems with the site please contact us at webmaster@ncpdp.org