Customer Identifiers in Pharmaceutical Chargebacks EDI 844 Utilizing all available customer identifiers in pharmaceutical chargebacks EDI 844 submission is important for customer eligibility verification and various aspects of indirect sales analysis. Validation rules based on provided customer information are discussed…
Introduction One of the key requirements for pharmaceutical chargeback processing is an ability to detect errors. The errors contained in pharmaceutical chargeback claims, sent by wholesalers to pharma manufacturers, average about 5-7% of contractual sales. Chargeback overpayment is a serious…
Pharmaceutical Government Pricing Software: Inclusion of US Territories into MDRP Introduction Relasoft offers pharmaceutical manufacturers software and managed services to handle all activities related to Government Pricing and regulations. That includes processing invoices from Medicaid Drug Rebate Program (MDRP),…
Processing pharmaceutical chargebacks in Acumatica requires integration between Acumatica and chargeback processing software. This integration needs to link pharmaceutical chargeback submitters with Acumatica wholesaler customer accounts, and products from EDI 844 submissions with Acumatica items. Chargeback submitters identify themselves in…
Handling pharmaceutical chargebacks in Acumatica often requiers linking chargeback submitters with Acumatica customer records by DEA, and chargeback payments with items by NDC-11. A good overview of mapping is at pharmaceutical_chargebacks_for_quickbooks. This post describes how to create Attributes of DEA…
Quickbooks Desktop accounting software is often used by small and mid-size pharmaceutical manufacturers. Yet, it does not come with the tools to process pharmaceutical chargebacks. As the result, manufacturers are using specialized tools to process pharmaceutical chargebacks. Processed chargebacks then…
Medicaid Inflation Penalty Medicaid Inflation Penalty is a rebate that a pharmaceutical manufacturer pays to Medicaid when the price of the drugs grows faster than the rate of inflation. This rebate came into effect in the first quarter of 2017.…
Pharmaceutical manufacturers receive chargeback requests through EDI and in a variety of other formats, either comma-separated, or as MS Excel files. These requests can contain multiple errors of different types: basic information missing; incorrect pricing; sales made to ineligible customer…
Validating Coverage Gap Invoices Introduction Every quarter, pharmaceutical manufacturers participating in Medicare Part D Coverage Gap Discount Program receive Coverage Gap invoices and supporting data. The invoices contain billing errors. Manufacturers can validate invoices and dispute the errors, but this…
Handling duplicated chargebacks in the pharmaceutical industry is one of the well-known problems in the industry, and can cost a manufacturer dearly, when left unchecked. This article reviews types of duplicates and discusses the best practices of handling them. Types…