Advanced Charge Master Management & Decision Support

Typically, hospital pharmacies can’t match dispensations to purchases or dispensations to bills submitted to insurance or paid by patients. This creates major challenges from a financial and auditing standpoint as it effectively removes the ability to run reports that are financially accurate and tied to actual performance. There is almost no meaningful metric, other than general aggregates that a Director of Pharmacy can access with any ease. Instead, most decisions are made using Drug Spend or aggregates of Diagnosis Related Group (DRG) billings, and most visibility comes from the purchasing side.

Sentinel RCM™ changes the game, because it accounts for all purchases and all drugs, and for the first time, they can look at the different drugs they’re buying, get a true average cost or cost-per-dispense, and then use that information to save money when buying their pharmaceuticals. In fact, most pharmacies with careful management of their purchasing activities can save as much money as 340B, just by putting in a few simple controls and paying attention to how they’re buying.

The components that provide the foundation for Sentinel RCM™ are:

Formulary Matrix

• Breaks down a hospital’s charge master into discrete formulary matrices which are assembled by drug ingredient, form, dosage, and are matched to a hospital’s Charge Master.
• Sentinel RCM™ automatically updates your formulary based on purchase activity, and alerts you to any changes for confirmation.
• Full HCPCs “J-Code” support for hospitals that link charges to J-Code billing units.

AutoMapper™ Decision Support

Provides automated CDM-NDC mapping decision support for mapping operations involving multiple NDC’s based on drug purchases, existing hospital mappings, intelligent search heuristics, and the Formulary Matrix™.

Report on Your Charge Master

• Unmapped Charges (CDMs)
• Unmapped J-Codes
• Unmapped NDCs
• Notifications on both are prevalent throughout the system.
• Full audit trail and history of all changes.

Enforce Your Purchasing Decisions

Set up policies that govern how your pharmacy uses and buys various drugs and have Sentinel RCM™ enforce them.

Connect Other Systems

Formulary Matrix NET™ – Sentinel RCM™ can feed back formulary updates to other systems via XML or HL7 messages. We include unlimited downloads of your formulary, which you can use to update systems, or we can automate this process at a nominal per-interface fee.

• Seamlessly connect all major medstation systems (Accudose, Omnicell, Pyxis).
• Seamlessly connect all major bedside barcoding and verification systems.
• Seamlessly connect all major ERP or inventory management systems.

Visibility and Audit Support

Enjoy a total view of your environment, from financials to operations, all from an easy to use, securely delivered web portal.

• Online Policy and Procedure Documentation.
• System wide product, drug, provider, invoice, PO, and person search.
• Detailed drug spend and savings reports by wholesaler account, department, or drug.
• Filter your charge master by Therapeutic Class, Control Class, NDC, CDM Code, CDM Description, Department, Purchasing Contract, Cost, Total Dispensations, Revenue Code, or J-Code.

Pharmacy Management

Use Sentinel RCM™ to give you the information you need to make decision. Sentinel RCM™ automates routine management tasks such as reconciling records from wholesalers, provide dashboards, and identify areas that can be improved.

• Quickly create of Manual Dispensation / Floor Stock Purchase Records.
• Quickly add in manual invoice records of purchases from specialty suppliers or wholesalers.
• Dashboard statistics quickly show pharmacy operational activity and savings.
• Automatically reconciles all PO’s and invoices electronically.

Financial Management and Audit Support

• Uses a LIFO/FIFO costing method (configurable by client) to accurately value your inventory which is matched to actual purchases and dispensations across all hospital locations.
• Reports focus attention on financial performance of your formulary and can be constrained by numerous additional criterion.
• Financial savings metrics and alerts are available in real time, as well as alerts to where an entity can experience additional savings.
• Break down costs by department, manufacturer, and other key indicators, and track those costs over time.

Procurement Support

InventoryBOSS™

An advanced order entry system, built for speed that’s used to assemble purchases into proper 340B, GPO and WAC purchase orders.

• Supports multiple compliance programs, wholesaler accounts, locations, departments, and policies.
• Lightning fast drug search and order construction.

• RxTypeRight™ Technology – Intelligently corrects misspellings when searching for drugs.
• Optimized for low bandwidth connections.
• Map items as you build your order, saving time and preventing charge master degradation.
• Save-as-you-Build prevents lost orders due to computer or network issues.
• Save and name multiple orders for future use.
• Real-time account allocations shows you how your order will be placed.

• Supports all major wholesalers and several other entities.
• Receive stock status and order allocation notifications.
• Integrated formulary notifications alert users when purchasing an unmapped drug or deviating from ordering policies.
• Integrated drug suggestion engine alerts user to cheaper identical alternatives.
• Integrates with other ordering platforms via industry standard interfaces.