Converting Medicaid Rebate Invoice PDFs: What Manufacturers Need to Check
Before converting Medicaid rebate invoice PDFs, check data accuracy, CMS-format limitations, exception handling and the full quarterly import workflow.
Why Medicaid Market Date Matters
Why Medicaid Market Date Matters: Base Quarter, Base AMP and Inflation Penalty Market Date is one of the most important product data elements in the Medicaid Drug Rebate Program because it determines the drug’s Base Quarter. Base Quarter, in turn,…
How to Register a Product on CMS for ASP Submissions
How to Register a Product on CMS for ASP Submissions Pharmaceutical manufacturers participating in Medicare reimbursement programs must regularly report participating products and Average Sales Price (ASP) data to the Centers for Medicare & Medicaid Services (CMS). This is done…
How to Submit ASP Pricing Data on CMS Portal
How to Submit ASP Pricing on CMS Portal Pharmaceutical manufacturers participating in Medicare Part B reimbursement programs must regularly report participating products and Average Sales Price (ASP) data to the Centers for Medicare & Medicaid Services (CMS). CMS Portal offers…
How to Register a Product on CMS for ASP Submissions
How to Register a Product on CMS for ASP Submissions Pharmaceutical manufacturers participating in Medicare reimbursement programs must regularly report participating products and Average Sales Price (ASP) data to the Centers for Medicare & Medicaid Services (CMS). This is done…
Solution for Medicare Part D Manufacturer Discount Program (MDP)
Solution for Medicare Manufacturer Discount Program (MDP) The Medicare Part D Coverage Gap Program is being replaced with Medicare Part D Manufacturer Discount Program as a part of implementation of the Inflation Reduction Act (IRA). That means, that manufacturers have…
Class of Trade (COT) in Pharmaceutical Industry
Introduction Customer classification by Classes of Trade (COT) plays a critical role in several operations of pharmaceutical manufacturers. Class of trade determines if sales to a customer have to be included into government pricing to calculate Average Manufacturer Price (AMP),…
Customers Identifiers in Pharmaceutical Chargebacks EDI 844
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…
Pharmaceutical Chargeback Processing: EDI 849 Error Codes
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
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),…