Compliance services
Clinical R&D
MFG
Risk-Based
Compliance
Commercial
Sales
& Marketing
Government Programs
Contracts
CalcPartner &
ClaimsPartner
Assessment
&
Audit
COT & PHS
Validation
PCX
Features
CIS Launches Service to Conduct and Preserve
Government Calculations
PharmaComplianceXchange (PCX)
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CAlcproblems? we’re
your calcpartner.
Government Pricing (GP) calculations
remain an on-going challenge for many pharmaceutical organizations
regardless of size, product portfolio or therapeutic area of specialty.
The regulations underlying GP calculations are complex and require
diligent interpretation. Despite companies’ efforts to systematize
these processes internally, valuable time and resources are often
consumed by those managing many competing priorities. The focus and
attention necessary for reliable GP calculations suggests the need for
a dedicated partner in the GP space. Moreover, working with a partner
focused on Government Pricing assures that regulatory changes are
communicated and implemented in a timely manner.
managing government pricing
calculations
CIS' CalcPartner is a service staffed by
GP subject matter experts, using our proprietary toolset, to perform GP
Statutory Pricing calculations, to provide the confidence you need with
Medicaid, Medicare Part B, VA, PHS and TRICARE pricing calculations and
reporting.
Our approach is simple. We provide the knowledge and services to
supplement your staff, allowing you to sleep better at night, knowing
that the
calculations are being performed accurately and consistently by CIS' GP
experts. Each month and quarter we follow an established checklist,
coordinated with your internal staff, and provide complete support
binders with each calculation, so you know exactly what is happening
and when, and that you feel comfortable with your internal
certification.
CIS will work with you to review and
document your
methodology, collect your data on a monthly basis and perform the
calculations. We provide the results in the formats required by the
Government, along with reports and analysis for your review, approval
and documentation. And, when regulations change or new guidance is
issued, we will work with you to ensure your continued compliance.
Our CalcPartner services provide:
- CIS' GP staff to manage the workflow and perform
your ongoing calculations
- Historical restatement or recalculations
- All documentation needed for a strong and
reproducible audit trail
- A standard monthly and quarterly price reporting
plan for tracking the workflow progress
- Notification of changes to regulations and guidance
The CIS CalcPartner service combines
calculation management with the industry’s best GP staff –
all bundled in a cost-effective and practical solution.
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CalcPartner Advantage
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Even with limited resources, 100% accuracy is
still required.
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CalcPartner is a service utilized by CIS’ GP
experts to ensure calculations are performed accurately and most
importantly, are CEO/CFO Certifiable.
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GP Calculations are complex and have a lot of
variability, requiring vast GP knowledge to truly understand their
application.
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CIS has in-house expertise to perform all GP
calculations (AMP, BP, Non-FAMP, FCP, IFF, ASP, PHS) and stays current
with all of the changing regulations.
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GP Calculations need solid documentation for your
review and certification, and you need a
dependable audit trail.
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CIS ensures that your policies and procedures are
followed and that your results are reproducible – creating a compliant
audit-ready trail.
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Understanding GP Calculation drivers
and forecasting are an integral part of
your business.
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CalcPartner provides trending, component and
detail reporting, allowing you to better understand what is behind your
calculations.
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As a result of methodology inconsistencies or data
anomalies, companies often perform recalculations or restatements to
correct historical quarterly price reporting.
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CIS works with clients to identify historical
methodology inconsistencies and data anomalies that result in
performing recalcs or restatements. As a result of a restatement or
recalc, CIS provides variance and impact analysis reports that
demonstrate the differences and overall liability impact.
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If you are evaluating your options, call CIS. We can easily and quickly
demonstrate the CalcPartner service and help you with the information
necessary to perform a cost benefit analysis that works for you.
CalcPartner’s Partner
hassle free way to manage state medicaid claims
CIS' ClaimsPartner is a service staffed by
GP subject matter experts who provide an easy and effective way to
process State Medicaid invoices. Our experts will set up your claims
processing profile and track and assess any changes to the regulatory
requirements regarding Medicaid Claims Processing. And, if adjustments
are needed to the unit rebate amount through a GP recalculation, CIS
can readily submit the Prior Quarter Adjustment Statement (PQAS) report
to the appropriate state(s).
- Import, maintain and
update the Product Master
- Maintain CPI-U index
values and T-bill rates
- Track State Invoices
- Enter State Invoices
- Validate the State
Invoice Data
- Identify NDC(s) requiring
research and/or disputes
- Calculate Medicaid rebate
payments by State,
including interest
- Generate State required
ROSI and PQAS reports
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