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Carla - I just finished setting up the J-code functionality in pharmacy and
BAR and it seems to be working fine. If you have a single dose vial (and
most of us use the single dose Epogen), you just have to set up the J-code
and enter the multiplier in BAR. I'm not a BAR person, so I don't know all
of the details but can put you in contact with my analyst who set it up in
BAR. You also have to set up individual claims and revenue codes. For
instance is you have an Epogen 5,000 units, and have it built in the drug
dictionary as 5,000 units for the dispensing size, pharmacy sends a 1 to BAR
for the quantity. Then within the CDM, you have the correct J-code (and here
you have to be careful because there are 2 different J-codes for Epogen -
one for oncology use and one for renal use - so you'll have to set up 2
entries for each Epogen if you have outpatient use of Epogen for both
disease states), the multiplier is 5, and takes 1 x 5 and prints 5 on the
claim.
Now, the only problem comes with multi-dose items (of which there aren't
that many). Here you have to have page one of the drug dictionary set up to
match a J-code unit; the order size and the dispensing size have to match
the J-code unit. If you are using pharmacy MM, you also need to have this
J-code size as the smallest size in the packaging string, or it won't hit
the inventory properly. On the BAR side, you then have 1 for the multiplier
on the multi-dose item.
I know that all of this sounds pretty complicated, but once you get
things set up correctly, it works like a charm. Not perfect, but the best we
can do. I wrote the original enhancement request for MUSE probably over 7 or
8 years ago, and Meditech did not follow my suggestions to incorporate the
J-code functionality in pharmacy and instead put it in BAR. So, the BAR
people won't give me access to the CDM, so every time I have a change to
make, I need to have a BAR person to do it. Let me know if you need any
further help, but this is the way I would go with the J-codes.
Charlie
Charles Downs Pharm.D.
Washington County Hospital
Inpatient Pharmacy
251 E. Antietam Street
Hagerstown, MD, 21740
301-790-8904
----- Original Message -----
From: "Carla Fuller" <[EMAIL PROTECTED]>
To: "Meditech-L list" <[email protected]>
Sent: Friday, August 25, 2006 12:32 PM
Subject: [MEDITECH-L] Magic 5.4 J-Codes and PHA
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--------------------------------------------------------------------------------
I was asked to post the following to the L:
A couple years ago, I was made aware that some PHA users were building
dummy
entries into their Drug Dictionaries which matched J-Code pay-bys. This
was
because BAR didn't distinguish between the entire drug amount contained in
a
multi-dose vial being used for a dose vs.. only part of that amount being
used for a dose. E.g., Epogen 20,000 units would cross to BAR as just
that,
whether 6000 units had been used; so utilizing a 1000 unit dummy entry
would
allow the PHA user to send the correct 6 x 1000 units to BAR if only part
of
the vial was used. We had successfully tested this in 4.9. but haven't
been
able to test it in 5.4 yet. Now we are in the middle of an update to 5.5.
Are there any users out there who are using a fix similar to this in 5.4?
or
5.5? Or does anyone have any other suggestions?
Thank you,
Carolyn States, RPh
War Memorial Hospital
Thanks for your help,
Carla Fuller, CPC
War Memorial Hospital
Applications Specialist
500 Osborn Blvd
Sault Ste. Marie, MI 49783
(906) 635-4663
[EMAIL PROTECTED]
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