QA
needed for a patient infusion (even just one gram), and enter their own negotiated contract rate per J-code (which corresponds to the drug selected) from a specific private or government plan. The system will then generate two sets of results: an estimated reimbursement based on CMS (Medicare Part B) rates and a second based on the member’s own negotiated plan rate. Additionally, the calculator: • Is housed on our self-service website, which is available to members 24/7; • Can be accessed anywhere at any time via an internet-enabled device; • Includes Innovatix’s GPO contract pricing with FFF Enterprises, our designated IVIG distributor; • Supports data export to MS Excel; and • Is accompanied by complimentary training.
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How often is pricing updated?
Innovatix’s GPO contract pricing with FFF Enterprises is updated monthly, and CMS Part B pricing is updated quarterly.
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Who is the tool designed for? Who should be using it?
Any Innovatix member administering IVIG to patients may find it useful. Potential users include pharmacists and technicians, practice managers, nurse practitioners, office administrators, physician assistants, registered nurses, medical assistants, and reimbursement and billing staff.
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Are any fees associated with the use of this tool?
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What enhancements are planned?
The IVIG Calculator is part of our suite of clinical resources, which is available to members free of charge as value-added services.
Currently, users can only look up reimbursement info for one product at a time, with the capability to export that one drug’s data into Excel. We anticipate expanding capabilities soon to allow users to look up reimbursement info for several products at the same time, with the expanded option to export all information into Excel. This will make it even easier to compare reimbursement among products.
Additional Clinical Resources from Innovatix Innovatix is committed to ensuring that our members have the tools and resources they need to provide optimal patient care while operating successful businesses. Whether you manage a pharmacy, long-term care facility, or oncology practice, our in-house clinical experts have developed programs to ensure up-to-date clinical resources are always at your fingertips. All our clinical resources are available to members as free, value-added Innovatix services. In addition to our newly launched IVIG Calculator, our clinical resources include: • Access to our staff of eight in-house clinical experts, who have backgrounds in numerous pharmacy specialties. • CE credits (for pharmacists, pharmacy technicians, nurses, and LTC administrators) through monthly teleconferencing, in-person sessions at the Innovatix National Meeting, and written educational programs. • Care Solutions manuals that serve as management guides for specific diseases and conditions and highlight information to help members deliver high-quality care. • Contract Advantage tools that help members save by providing Innovatix-contracted alternatives to higher-priced, non-contracted drugs. • Current drug intelligence resources featuring new drug approvals and current FDA reviews, drug patent and exclusivity expirations, and pharmaceutical pricing trends. To learn more about the Innovatix IVIG Calculator or any of our clinical resources, please call us at 888.258.3273, email info@innovatix.com, or visit www.innovatix.com/ member-clinical-programs. 16 |
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