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Up to date information in the field of Independent Pharmacy written by the PRS Pharmacy Consulting Experts and Pharmacists for Pharmacy Owners. Experience Matters. 

Point of Care Testing in Pharmacy

Let’s talk about starting a CLIA-Waived Point of Care Testing Program in a Pharmacy setting to diversify your services and bring additional revenue as third parties continually lower reimbursements and we see continual DIR creep.  In most cases, your POCT will be a cash service, but CMS and privacy payers may pay for these services. Depending on your State, the Pharmacist can order these Tests and, in some cases, actually prescribe medication (or alter medications that have already been prescribed)

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I Want to Own an Independent Retail Pharmacy: Where Do I Start?

So you want to own an independent retail pharmacy but you’re not certain where to begin? Owning an independent retail pharmacy is not like owning just any business, there are many factors to weigh and consider that make owning a pharmacy business a unique and challenging experience. Let’s start by answering a few initial questions: Is it better to purchase an existing pharmacy, or start one from scratch? Purchasing an existing pharmacy that already has cash flow is the best

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Pharmacy Can Now Temporarily Enroll as an Independent Clinical Diagnostic Laboratory with Medicare

  Attention CLIA Certified Pharmacies: Over ten thousand Pharmacies have a CLIA Certificate of Waiver.  Most of these Pharmacies have been providing CLIA waived testing as a cash service only, increasing revenue and helping to offset dropping reimbursements and DIRS. But earlier this month,  CMS issued an MLN Matters Article allowing Pharmacies with CLIA Certification already enrolled in Medicare to fast-track a temporary enrollment as an independent clinical diagnostic laboratory to help combat the spread of COVID-19 during the public

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HIPAA and the CARES Act

We wanted to write a short blog post today to cover the HIPAA and the CARES Act. The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) was signed into law by President Trump on 3/27/2020.  In this law, you will come across a reference to HIPAA.  As many of you may know, we have been expecting some updates to the HIPAA Regulations for a few years now.  Is this the HIPAA update we have been waiting to see?  No,

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COVID-19 and Pharmacy

COVID-19.  We all know what it is by now – no need to explain further.  For specific information about COVID-19 from the experts, please visit the CDC website, Coronavirus Disease 2019 (COVID-19). In this blog, we will cover regulations and actions your Pharmacy can take to help your staff, patients, and community stay healthy.  We will also share links to various websites with relevant information for Pharmacy. COVID-19 and HIPAA For the most part, the HIPAA Rules remain the same,

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Common HIPAA Issues – Part 2: Breaches

The next area we want to discuss is breaches – the cause of most audits.  Almost all covered entities may at some point face a breach in the privacy of Protected Health Information (PHI). Ultimately, by ensuring you have enacted the appropriate policies and procedures, performed your risk analysis and management plan, developed appropriate technical and physical safeguards, and trained your employees, you are doing all you can to prevent these breaches from occurring and in turn preempt any HIPAA issue regarding

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Common HIPAA Issues for Pharmacies – Part 1: Training

Before we get into the HIPAA issues for pharmacies with regards to training, let’s just discuss HIPAA in general for a bit. The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a federal statute that includes national standards for data privacy and security provisions concerning patients’ medical information. Although it was no doubt introduced to protect sensitive patient health data, it wasn’t the only objective. HIPAA was established to fulfill multi-fold healthcare objectives, chief among which are medical

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