340B Program Growth & Compliance with Referrals

par8o 340B Referral Capture is a technology-enabled service for 340B covered entities that helps qualify prescriptions written by outside specialists or ineligible providers per the patient definition.

Interpreting the 340B Patient Definition

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When there is clear documentation demonstrating that the covered entity (CE) owns patient care, CEs can include prescriptions generated via patient referrals to an outside provider in the 340B program.
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The covered entity must have an established relationship with the patient.
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The patient receives care from a provider either employed by the covered entity or who provides care under contractual or other arrangement (e.g. referral for consultation), such that responsibility for care remains with the covered entity.
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The patient’s services are delivered within grant funding scope.

How par8o Can Help

We offer the only solution for 340B covered entities that directly addresses the "gray area" of 340B with required documentation: prescriptions that result from a referral for consult.

If you represent a covered entity whose providers refer patients to outside specialists (common among FQHCs or CAHs) or ineligible locations (common among DSH), read on.

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Compliance First

We provide all required documentation necessary to demonstrate an audit trail between the referring provider, the referred-to provider and the referral recipient - above and beyond what is required by Apexus.
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Better Patient Care

By returning the consult note from the referred-to providers to your referring providers, we help you "close the loop" providing a pathway for better clinical care and better patient outcomes.
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Compatible With Your 340B Software Partners

We work with all existing TPAs, contract pharmacies, and specialty pharmacies, and have existing partnerships with several to help you scale your program when you're ready.
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No New Hires

Our technology-enabled service incorporates your existing workflows & policies & procedures to identify potential savings in a way that requires minimal time investment by your existing staff.

How It Works

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PCP Refers Patient to Outside Specialist; par8o Receives Referral Feed
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Specialist Writes Rx for Patient; Filled at Contract Pharmacy
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par8o Receives Feed of Candidate Rx
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par8o Matches Referral and Rx Data
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par8o Retrieves Consult Notes and Verifies Rx Claim Documentation
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Verified Claims and Consult Notes Delivered to CE and TPA

Learn More

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340B Program Compliance in Regards to Referrals for Consultation:

The Patient Definition, Eligibility & Required Documentation

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Webinar: Regulatory Compliance Regarding 'Referrals' [On Demand]

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Take the First Step

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Schedule a Consultation

Take the first step toward better referral management.