Clinical Support Services, Inc. (CSS) highlights MTM program success, compliance

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Medicare plan officials are taking a hard look at Medication Therapy Management (MTM) programs, and whether they are successful. Clinical Supprt Services, Inc. (CSS)'s software is used by numerous Plan sponsors to support their MTM programs. Whether the MTM program is administered by CSS, used as a documentation platform by the sponsor’s clinicians or network clinicians, meeting CMS expectations for compliance and value is paramount.

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We understand CMS’s rules and regulations, and can make it easier for Medicare plans to meet them while still aligning with CMS’s focus on value-driven healthcare,” said James Notaro, RPh, PhD, president and founder of CSS.

Medicare plan officials are taking a hard look at Medication Therapy Management (MTM) programs, and whether they are successful.

  • Is the MTM program in sync with what was submitted to the Centers for Medicare & Medicaid Services (CMS) on the Plan’s behalf?
  • Does the MTM provider offer active engagement with beneficiaries, or does it merely send a letter?
  • Is the CMR rate as high as it could be?
  • Does engagement include pharmacists, nurses and other clinical personnel?
  • Are all aspects of the program compliant with CMS rules?
  • Does it offer data validation support?

Clinical Support Services, Inc.’s (CSS) Medication Pathfinder and proprietary software MTMPath are used by numerous Plan sponsors to support their MTM programs. Whether the MTM program is administered by CSS, used as a documentation platform by the sponsor’s clinicians or network clinicians, meeting CMS expectations for compliance and value is paramount.

“Our software, procedures and processes are active, successful and fully compliant,” said James Notaro, RPh, PhD, CSS president. “We understand CMS’s rules and regulations, and can make it easier for Medicare plans to meet them while still aligning with CMS’s focus on value-driven healthcare.”

Challenging MTM issues such as CMS report sophistication, constantly changing tech specs and evolving CMS regulations are all supported by CSS when administering a Part D sponsor’s MTM program.

MTMPath allows for the development of a patient profile from which potential therapy-enhancing recommendations may be drawn. It was built in a S-O-A-P (Subjective-Objective Assessment Plan) Note structure to help pharmacists move faster through complex patient assessment procedures.

About CSS: Founded in 1999 by pharmacists and technologists, CSS is staffed by experienced clinicians, software developers and operations personnel who develop innovative and proprietary technology tools that improve patient care while providing financial value. CSS software solutions include iDealTherapy and Star Ratings Booster.

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Cheryl Krajna
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