Does ChARM support electronic prescription? How to enable it?
Yes, you can send eRx from ChARM EHR. Practice Admin can enable eRx for prescribers from 'Settings > Rx > eRx' section. DEA & NPI number is mandatory to enable eRx for the prescriber.
Can Nurse process the refill requests?
Yes, Nurse can process the refill request received by the prescriber. Nurse can see these requests under the Patient Dashboard > Messages section. When the refill is process by the nurse, the Script will be sent with Doctor as the Prescriber and Nurse as agent.
I only have an NPI number but not DEA. How can I enable electronic prescription for my account?
Even if you do not have the DEA number, electronic prescription can be enabled using our Surescripts Admin Console. Please update the following information in your ChARM account and let us know, so that we can enable electronic prescription for your account
By enabling eRx, will I be able to receive refills from pharmacies?
Not immediately. First you need to send at least 5 new eRx requests from your account successfully. Once this is done, refill Rx service gets enabled automatically within 14 days. Only then, pharmacies will be able to send refill requests to your account in ChARM.
How to ePrescribe free-text compounded drugs?
ChARM EHR allows you to ePrescribe free-text compounded drugs provided they have National Drug Code(NDC) & CSA(Controlled Substance Act) Schedule Level details. While adding free-text compounded or custom drugs, we require the user to enter NDC & CSA details into the system. For compounded drugs, users can make use of adding ingredients to pull corresponding NDC and CSA detail from our drug database. Most restrained ingredient's NDC and CSA level are assigned to the free-text drug.
How to add ingredients to a free-text compounded drugs?
While adding free-text compounded drugs, we recommend users to add ingredients for the free-text compounded drugs to automatically pull NDC and CSA schedule level for the drug. On entering ingredient name, related drugs are auto-suggested from our standard drug database. On picking a related drug from an auto-suggested list, corresponding NDC and CSA details are pulled from our drug database. Most restrained ingredient's NDC and CSA level are assigned to the free-text drug. Ingredient names will be appended to the drug name by default, the user can modify the drug-name after adding all the ingredients. Drugs having CSA level as '0' can be ePrescribed by all the eRx privileged users. Free-text compounded drugs with CSA schedule level II, III, IV & V can be ePrescribed by the EPCS privileged users.
How to add NDC and CSA details for an already added free-text compounded drug?
From 'Settings > Rx > Manage Supplements and Drugs > Drugs', free-text compounded drugs already added without NDC & CSA level can be made inactive. Same drugs can be added again with ingredients to auto-fill the related NDC & CSA schedule level to make them eligible for ePrescription.
What is PDMP & the benefits?
A prescription drug monitoring program (PDMP) is an electronic database that tracks controlled substance prescriptions in a state. PDMPs are promising tools for health care providers to see patients’ prescribing histories to inform their prescribing decisions. Some states have implemented policies that require providers to check a state PDMP prior to prescribing controlled substances to decrease the abuse of opioids.
More info on https://www.cdc.gov/drugoverdose/pdmp/states.html
How does ChARM EHR allow you to access state's PDMP report within your EHR account?
ChARM EHR facilitates providers to access their patient's PDMP report before prescribing controlled substance drugs. ChARM EHR uses Appriss PMP Gateway service for accessing State's PDMP data. ChARM EHR's integrated PMP Gateway automates search so patient PDMP data is ready to view for rapid access within your daily workflow.
How do I enable/register PDMP interface for my practice account in ChARM EHR?
Registration information is available in your 'Settings > Rx > PDMP' section. Please visit us at https://www.charmhealth.com/ehr/pdmp.html for more details on registration.
Enter a part of your drug name in the search field and click search. This will pull all the drugs matching the search pattern. Listed drugs can be refined using the Strength, Route and Dose Form filters. 'Is Custom' filter is used to list the drugs, either added manually or drugs available in our standard drug database.
When & Why do Prescriptions need to be explicitly signed?
Signing is needed, only when a prescriber writes the prescription and she/he wants an agent to transmit the prescription on behalf of her/him. In this scenario, prescriber writes prescriptions and signs them during the visit. At the end of the visit or after the visit, prescriber's agent can either transmit the prescriptions electronically to pharmacies or print the prescriptions and provide it to the patient.
Explicitly signing is not required when prescriber transmits the prescriptions written by him/her.
Do Prescribers explicitly need to sign the prescriptions for printing 'Paper-Rx'?
For transmitting prescriptions via Paper-Rx, you do not have to explicitly sign the prescriptions. You can simply add the prescriptions using the 'Add' button in the prescription view. While the prescriber prints prescriptions using 'Transmit -> Paper Rx' option, the drugs will be auto-signed. You can also choose the state preferred Paper-Rx format for printing prescriptions.
I am registered for EPCS subscription. On digitally signing a CS drug using TFA, each time I have to choose my token preference. How do I configure my default EPCS Token preference?
Go to your EPCS Subscription Details view under 'Settings -> Rx -> eRx'. Your default token preference can be configured in this view against the field,'Preferred Token'. Once it is configured, this will automatically be set as your preferred token in TFA view.
How do I renew my EPCS subscription product?
EPCS subscription is renewed using 'Renew Subscriptions' button available in 'Settings > Rx > EPCS Subscriptions' section. EPCS subscriptions can be renewed only by Practice-Admin / Office-Manager on behalf of the prescribers.
This option lists all the available strengths of the drug. Selecting another strength from the list will open up the prescription view. Values for the prescription fields are automatically copied from the original prescription. Adding this prescription will make the original prescription inactive.
How do I print prescriptions in the state recommended format?
In ChARM EHR, we have designed a Paper-Rx format specific to each state. On printing Paper-Rx, you can opt for the Paper Rx format specific to your state as shown in the below image. Practice-Admin can make this a generic configuration for their accounts under 'Settings > Rx > Rx Print Format'.
If a practice account has multiple facilities and a prescriber wants eRx service in all the facilities, do eRx verification fee and identity proofing process need to be performed separately for each facility?
Not needed. Even though eRx service is facility/location specific, the prescriber can undergo the identity proofing process only one time with one-time verification/subscription fee. In the case of EPCS, the prescriber should posses State's DEA number specific to the facility location. In case of eRx solution for ePrescribing only non-controlled substance drugs, the prescriber should submit the filled eRx Enrollment Form and medical license specific to the state of the facility.