GPS Comprehensive 340B Services
Inventory/Invoice Management
- Receive invoices from wholesaler
- Record drug purchases in system
- Compare prices charged to 340B prices
- Approve payment of invoices
- Forward payment information to client finance department
Monthly Financial Reconciliation
- Integrate newly dispensed transactions data into system
- Integrate newly paid transaction data into system
- Compute transaction fee payable to PSP
- Retain non-paid transactions for future reconciliation
- Provide monthly financial reports
Program Management
GPS will work closely with clients in management of the audit process to ensure compliance with Federal guidelines.
- Issue monthly reports
- Manage audit process
- Manage wholesaler relationship
- Manage pricing discrepancy issues
Sliding Scale Fee Program and Eligibility Management
- “Auto Enroll” and real time eligibility management programs
- Overview of the sliding scale fee program
- Develop plan designs and group assignment strategies
- Implement sliding scale fee plan into claim processing engine
- Manage and maintain 340B discount program
- Develop and distribute prescription cards
- Develop and distribute member communication materials
Claim Processing
- Manage and maintain plan designs
- Adjudicate claims from contracted pharmacies
- Provide real time Drug Utilization Review (DUR) based on MediSpan criteria
- Provide pharmacy helpdesk services
Reporting
- Provide scheduled standard reports
- Provide ad hoc and customized reports
- Sample reports include:
- Financial reports broken down by payor
- Detail transaction reports
- Reconciliation report
- Drug utilization report
