Pharmacy ManagementCustom Software Solutions

Pharmacy Management & Specialty Pharma Software Solutions

  • Revenue Cycle Management (RCM) and automation for insurance eligibility verification (including batching capability), prior authorization and referrals, claims (including status, tracking, denials, overpayments, and appeals), attachments (including HL7 Consolidated Document Architecture, PDF, and others), remittance advice, health plan payment processing, and coordination of benefits
  • Integration with billing and claims platforms using Electronic Data Interchange (EDI) ASC X12 version 5010 transaction sets including EDI 270/271 (Eligibility/Benefit Inquiry & Response), EDI 835/837 (Health Care Claim & Health Care Claim Payment / Advice), EDI 834 (Benefit Enrollment and Maintenance), and EDI 276/277 (Health Care Claim Status Request & Health Care Information Status Notification)
  • We develop custom Point-of-Sale (POS) platforms equipped with electronic signature capture modules that integrate with Customer Relationship Management (CRM) software and inventory management systems
  • Custom e-prescription (eRx) software development and integration using 3rd parties including Surescripts, DrFirst (Rcopia), and NueMD for secure reception of e-prescribing messages from point-of-care for new, renewal, refill, cancelation, and changes to prescription requests
  • We integrate e-prescription modules with Electronic Health Record (EHR) systems for electronically accessing information regarding a patient's drug benefit coverage and medication history
  • E-Prescription of Controlled Substances (EPCS) plus e-claims application development and electronic prior authorization integration with Surescripts
  • We build automated label making modules integrated with barcode scanners and inventory control devices
  • We create automated dispensing and quality / quantity control systems
  • We develop Interactive Voice Response (IVR) modules that interface seamlessly with phone systems for 24/7 prescription support
  • Custom specialty pharmacy platform and application development for managing patient demographics and documentation, medication distribution, inventory tracking, compliance management, plus analytics & reporting features
  • Development of Customer Relationship Management (CRM) modules for facilitating enhanced patient care through tracking team and therapy data, monitoring prescription adherence and insurance benefits, and automating patient alerts and reminders
  • Automating distribution workflows and manual processes through building database management systems for ordering, receiving, warehousing, real-time tracking, and withdrawing of inventory, managing multiple suppliers, utilizing barcode scanning technology, and enabling searches by National Drug Code (NDC), lot number, or ingredient contents
  • We develop workflow automation modules for managing queue-based tasks, identifying process bottlenecks and backlogs, engineering auto-population features, monitoring prescriptions to be filled and delivered, output levels, and refill requests all in real-time, automatically transferring completed tasks to next department in the process, and managing staff assignments and productivity
  • Engineering of electronic files and documents management modules with scanning, uploading, and attachment features, organizing by multiple categories and parties, integrated notes functions, creating custom assessments and reports, accepting faxes electronically, and maintaining clinical and audit documentation
  • Integrating billing and invoicing platforms for managing reimbursement, automating invoices, collections processes, and payer compliance, creating accounts receivable summaries and reducing Days Sales Outstanding (DSO) and write-offs, and managing revenue cycles
  • E-Claims National Council for Prescription Drug Programs (NCPDP D.0 & 5010) technology solutions to ensure the consistency of distribution and billing of pharmaceuticals
  • Revenue management modules for managing refills and prescription drug repayments, monitoring valid referral requests, audit documentation, automated refill alerts, inventory tracking, and patient management features including redundant checks for accuracy, manufacturer and payer requirements automatic updates, and initiating patient refills
  • Compliance management modules for monitoring changes and automated auditing, role-based access control, authentication, and authorization, password integrity, auto-generating certificates and statements of medical necessity (CMN / SMN) and purchase option letters, integrated with Medicare fee schedules, documenting and meeting Risk Evaluation and Mitigation Strategies (REMS) and restrictions, customized assembly of medication documentation, and managing specialized medication requirements
  • Integrations with e-prescribing platforms, and formulary drug databases including First DataBank (FDB), Lexicomp, Medi-Span, RxNorm, and the National Drug Code (NDC)
  • Data management, analytics, and reporting dashboards and modules development for business intelligence and metrics analysis, data warehousing and SQL database development, customizable queries, accounts receivable and revenue drivers analytics, cost analysis features including item cost per lot & lot tracking, plus data mining features
  • Development of process manufacturing and Electronic Batch Record (EBR) systems to track ingredients from suppliers to customers with integrated Material Requirements Planning (MRP) modules
  • We create distribution management software solutions for supply chain visibility including inventory control, order procurement, warehouse management, tracking systems, and reverse logistics
  • Programming of automation software programming to streamline quality control, assurance, and traceability
  • We create software solutions compliant with Food and Drug Administration (FDA) requirements such as Current Good Manufacturing Practices (cGMP), Title 21 Code of Federal Regulations Part 11 (21 CFR Part 11), and National Drug Codes (NDC)

We Ensure your Compliance with Meaningful Use & HIPAA

Chetu's healthcare software development experts ensures your software complies with regulatory standards including specifications set by the U.S. Department of Health and Human Services (HHS), Office of the National Coordinator – Authorized Testing and Certification Body (ONC-ATCB), HITECH's Meaningful Use Stage 1 and 2 (MU-1 & MU-2), Health Insurance Portability and Accountability Act (HIPAA), and Health Level 7 International (HL7).

Our Healthcare Software Development Solutions

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Chetu is the premier provider of custom pharmacy management solutions for businesses worldwide. Consult our software solutions specialists now to discuss how our software development services will help you overcome your healthcare technology challenges.

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