EPCS Overview

Post on 02-Jul-2015

238 views 0 download

description

On March 31, 2010 there was a DEA revision to give physicians the choice of writing prescriptions for controlled substances the traditional method or through the electronic system. This will provide a reduction of paperwork and will mitigate the risk of forgery. This overview will outline • The EPCS Process • Who Must Comply and • Audit Phases

Transcript of EPCS Overview

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

CONTENTS • Overview • EPCS Process • Who Must Comply? • Audit Phases

2

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

OVERVIEW

3

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

March 31, 2010 DEA revision to give physicians the choice of writing prescriptions for controlled substances

the traditional method or through the electronic system.

OVERVIEW

4

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

OVERVIEW This will provide:

A reduction of paperwork and will mitigate the risk of forgery

5

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

PROCESS

6

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

PROCESS Logical access controls

7

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

PROCESS Digital signature functionality

Logical access controls

8

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

PROCESS

Time requirements within defined threshold of the NIST time source

Digital signature functionality

Logical access controls

9

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

PROCESS

Audit trail of controlled substance prescriptions

Time requirements within defined threshold of the NIST time source

Digital signature functionality

Logical access controls

10

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

PROCESS

Archiving of audit logs

Audit trail of controlled substance prescriptions

Time requirements within defined threshold of the NIST time source

Digital signature functionality

Logical access controls

11

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

PROCESS

Physical security and processing integrity controls

Archiving of audit logs

Audit trail of controlled substance prescriptions

Time requirements within defined threshold of the NIST time source

Digital signature functionality

Logical access controls

12

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

WHO MUST COMPLY?

13

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Not a mandate to implement EPCS (Except New York)

COMPLIANCE

14

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Practitioners / pharmacies that perform EPCS

(Compliance with the DEA rule)

COMPLIANCE

15

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Surescripts mandates: • Every physician and pharmacy

application vendors

• Apply for the eligibility to conduct EPCS

COMPLIANCE

16

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Application service providers: • Must have a certification • Third-party audit • Ensure that every electronic prescription and

pharmacy application can be used to sign, transmit, or process controlled substances.

ADDITIONAL DOCUMENTATION REQUIREMENTS

17

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

• Practitioners must be in compliance (Section 1311.120)

• Pharmacy applications must be in compliance (Section 1311.205)

COMPLIANCE

18

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

AUDIT PHASES

19

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

• Evaluation of controls to meet the DEA requirement

• Identification of the DEA requirements that are achieved

• Identification of the DEA requirements that are not in place to ensure compliance

PRELIMINARY ASSESSMENT

20

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

• Determine the EPCS application’s compliance with the DEA requirements

• Deliverable includes: – An independent report regarding compliance – Summary of the applicable compliance

benchmarks – Summary of process improvement areas

FINAL ASSESSMENT

21

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

SUMMARY

22

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Demonstrate design and operational effectiveness

BENEFITS OF THE AUDIT

23

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Demonstrate design and operational effectiveness

Meet regulatory or contractual mandates

BENEFITS OF THE AUDIT

24

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Demonstrate design and operational effectiveness

Meet regulatory or contractual mandates

Bolster trust and confidence

BENEFITS OF THE AUDIT

25

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Demonstrate design and operational effectiveness

Meet regulatory or contractual mandates

Bolster trust and confidence

Independent and validated third party opinion

BENEFITS OF THE AUDIT

26

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Demonstrate design and operational effectiveness

Meet regulatory or contractual mandates

Bolster trust and confidence

Independent and validated third party opinion

Demonstrates management’s responsibility and accountability

BENEFITS OF THE AUDIT

27

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

Demonstrate design and operational effectiveness

Meet regulatory or contractual mandates

Bolster trust and confidence

Independent and validated third party opinion

Demonstrates management’s responsibility and accountability

Promote a stronger control environment

BENEFITS OF THE AUDIT

28

©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved

LEARN MORE >>

Want to know more about EPCS?

29