OmniSYS News Feed

OmniSYS Announces Agreement with Express Scripts for medical necessity documentation outreach required for Medicare Advantage clients

Mon, 14 May 2012 01:00:00 CDT

DALLAS, TX – May 14, 2012 – OmniSYS today announced an Agreement with Express Scripts to provide patient and physician outreach to support medical necessity documentation requirements that are part of the Medicare Advantage program.

"OmniSYS is pleased to partner with a company like Express Scripts, who has a strong focus on compliance services" said Tricia Fringer, OmniSYS' President -CEO. "Express Scripts clients have a comprehensive solution to efficiently address these additional requirements that are part of medical claims management for Medicare Advantage Plans."

About OmniSYS
OmniSYS, headquartered in Dallas, TX, offers a comprehensive product portfolio that streamlines medical claims management for Medicare, Medicaid and Commercial Insurance for pharmacies, DME providers, managed care organizations, and commercial retiree plans. OmniSYS' proprietary billing system and comprehensive audit and compliance services are supported 24/7/365 by a world-class call center. OmniSYS exclusively offers a high touch patient prescription adherence program for Medicare beneficiaries, OmniLINK Advantage™, proven to increase adherence and improve medical outcomes through a series of patient interactions including customer care calls, refill reminders, and educational mailings. OmniSYS’ current programs support more than 30,000 DME suppliers nationwide, processing over forty million Medicare claims annually.
More information about OmniSYS is available through the company's web site at: http://www.omnisys-llc.com.

Prepare now for the 2012-2013 Immunization Season

Mon, 14 May 2012 01:00:00 CDT

OmniSYS provides immunization billing services for Commercial, Medicare and Medicaid payers

Dallas, TX – Did you know that approximately 50,000 adults die each year from vaccine-preventable diseases in the U.S? An average of 36,000 Americans die annually due to influenza and its complications – most are people 65 years of age and over.
(http://ww.cms.gov/Medicare/Prevention/Immunizations)

OmniSYS provides electronic immunization billing services for Commercial, Medicare and Medicaid payers. Pharmacies can easily utilize their existing pharmacy management system at the time of service to submit claims and receive real-time responses with the pharmacy's contracted network pricing for the specific payer. If supported by the payer, the patient’s insurance coverage will be confirmed by real-time eligibility edits. OmniSYS manages all HCPCs, administration fee and ICD9 coding efforts to reduce the confusion of constantly changing billing rules for immunization claims. OmniSYS' simplified claims processing solution allows pharmacies to meet the expanding needs of their customers.

Due to the recent Healthcare Reform Law changes, commercial payers are expanding their support of vaccination services performed by pharmacies and in most cases, copayments are not required. In addition to flu and pneumonia vaccines, OmniSYS supports preventative vaccinations for Zoster, Hepatitis A, Hepatitis B, Rotavirus, DTP, Polio, MMR, Varicella, Tetanus, HPV, and Meningococcal for all commercial payers. Travel vaccines such as Polio, Rabies, Typhoid fever and Yellow fever may also be covered.

If interested in learning more about OmniSYS immunization services, contact sales@omnisys-llc.com.

Contact Info:
Shelley Hansell, VP Product Management
800-448-6891
shelley_hansell@omnisys-llc.com

OmniSYS expands operations, adding over 100 jobs to Greenville and Dallas, TX facilities

Tue, 08 May 2012 01:00:00 CDT

DALLAS, TX – May 8, 2012 – OmniSYS has added over 100 employees to its Dallas and Greenville Operations to support increased demand for its Medicare Part B audit and compliance services. As a result of health care fraud and abuse initiatives, there’s been a significant increase in Medicare prepayment denials and audits for pharmacies and DME providers. OmniSYS offers a comprehensive compliance solution, managing client audits from the initial audit letter to submission and upon appeal.

“OmniSYS is pleased to have a robust product offering designed to assist all DME providers in managing and responding to Medicare prepayment denials and audits. Our experience and Medicare Part B expertise is instrumental in effectively working audits for our clients ensuring their claim dollars are not recouped,” stated Tricia Fringer, OmniSYS’ President-CEO.

OmniSYS Media Contact
Scott Warshaw
214-459-2577
scott_warshaw@omnisys-llc.com

OmniSYS Hosts Annual Partnership Conference in San Antonio, Texas

Mon, 26 Mar 2012 01:00:00 CDT

OmniSYS hosted our annual Partnership Conference on March 8-9, 2012 at the Mokara Hotel and Spa in historic San Antonio, Texas. The event included representatives from across the industry including retail, mail-order and outpatient care pharmacies, PMBs, MCOs, DME Suppliers, as well as Medical Directors and policy makers from the Medicare Jurisdictions. The focus of the two-day event was on how to evolve and grow your business today's rapidly changing and challenging regulatory environment. Featured presentations included a key note address given by the Medicare Jurisdictions on Medicare Part B Policies and LCDs. Other highlights included presentations from industry experts on hot topics, including Pharmacy Data Trends, Preparing for Audits and National Mail Order Competitive Bidding.

The forum provided our clients with an opportunity to share ideas and thoughts with industry peers and OmniSYS executives as we work together to address challenges and create solutions to pertinent issues facing the health care industry today.

OmniSYS expands Diabetic Self-Management Training billing service to all 50 states

Fri, 13 Jan 2012 01:00:00 CDT

OmniSYS addresses the growing needs of diabetic patients

Dallas, TX - OmniSYS announces the expansion of Diabetic Self-Management Training (DSMT) Medicare Part B billing services to include all 50 states. Medicare covers DSMT training services for beneficiaries to receive guidance related to all aspects of diabetes in order to increase their knowledge about their disease and learn how to exercise better control over their own health. OmniSYS billing services provide real-time transactional edits for Medicare eligibility, DSMT coverage limitations, allowable pricing and remittance processing.

OmniSYS' DSMT product solution assists pharmacies in further expanding their role to serve the healthcare needs of diabetic patients. By providing preventative training, pharmacies are able to decrease healthcare costs for Medicare patients and improve their healthcare outcomes. To participate, a pharmacy's DSMT program must be accredited by American Diabetes Association (ADA), the American Association of Diabetes Educators (AADE) or Indian Health Services (IHS). “OmniSYS is excited to expand DSMT services as this service directly aligns with our strategy to develop effective healthcare solutions enabling our clients to achieve stronger patient medication adherence results,” said Tricia Fringer, OmniSYS' President-CEO.

In a position statement, the American Diabetes Association (ADA) has noted that multiple studies have found that Diabetes Self-Management Education “is associated with improved diabetes knowledge and improved self-care behavior, improved clinical outcomes such as lower A1C, lower self-reported weight, improved quality of life, healthy coping, and lower costs.” The ADA also cited studies finding that “diabetes education is associated with increased use of primary and preventive services and lower use of acute, inpatient hospital services. Patients who participate in diabetes education are more likely to follow best practice treatment recommendations, particularly among the Medicare population, and have lower Medicare and commercial claim costs.” Other studies provide similar support in terms of DSMT associated cost savings and DSMT associated positive diabetes health outcomes.
American Diabetes Association, Standards of Medical Care in Diabetes-2011, Diabetes Care, Volume 34, Supplement 1, January, 2011, at S22.

More information about OmniSYS is available through the company's web site at: http://www.omnisys-llc.com.

Contact Info:
Shelley Hansell, VP Product Management
800-448-6891
shelley_hansell@omnisys-llc.com

SOURCE OmniSYS, LLC

Humana Awards Contract to OmniSYS for Medicare Part B and Medicare Advantage Claims Management Services for RightSourceRx Mail-Order Clients

Tue, 27 Dec 2011 01:00:00 CDT

Humana Awards Contract to OmniSYS for Medicare Part B and Medicare Advantage Claims Management Services for RightSourceRx Mail-Order Clients

Louisville, KY, and DALLAS, TX – December 27, 2011 – Humana, one of the nation's largest full-service benefits solutions companies, and OmniSYS, the leader in Medicare Part B and medical claims management have entered into an agreement for OmniSYS to provide Medicare Part B DMEPOS and Medicare Advantage Prescription Drug (MAPD) claims processing for RightSourceRx, Humana's mail-order pharmacy for home delivery subscribers. During the term of the agreement, OmniSYS will utilize its proprietary technology to ensure all diabetes supply orders for Medicare Part B beneficiaries and Humana MAPD members dispensed by RightSourceRx will be processed efficiently and compliantly to the Durable Medical Equipment Medicare Administrator Contractors (DME MACS) and Humana.

“OmniSYS is pleased to partner with an innovative company like Humana,” said Tricia Fringer, OmniSYS' President -CEO. “Their ability to constantly evolve to meet the treatment needs of their customers is a testament to Humana's commitment to better health and wellness. Humana PDP Members with Medicare Part B DMEPOS coverage and Humana MAPD members will now have the benefit of having their diabetes supply prescriptions conveniently dispensed through RightSourceRx home-delivery service.”

About Humana
Humana Inc., headquartered in Louisville, KY., is one of the nation's largest publicly traded health and supplemental benefits companies, with approximately 10.3 million medical members. Humana is a full-service benefits solutions company, offering a wide array of health and supplementary benefit plans for employer groups, government programs and individuals.
Over its 48-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio. RightSourceRx, Humana’s state-of-the art mail-order pharmacy, opened in 2006 and is available to all Humana members.

More information about OmniSYS is available through the company's web site at: http://www.omnisys-llc.com.

Contact Info:
Humana Corporate Communications
Doug Bennett
502-580-3625
dbennett@humana.com

OmniSYS Media Contact
Scott Warshaw
214-459-2577
scott_warshaw@omnisys-llc.com

OmniSYS Launches Patient Adherence, Retention and Reacquisition Program

Mon, 05 Dec 2011 01:00:00 CDT

OmniSYS addresses diabetic patient adherence, high turnover and brand loyalty with OmniLINK Advantage™

Dallas, TX, December 7, 2011 – OmniSYS announces the launch of OmniLINK Advantage™, a high touch patient prescription adherence program. According to the National Council on Patient Information and Education (NCPIE), three out of four patients do not adhere to their physician’s prescribed treatment plan. OmniLINK Advantage™ increases adherence and improves medical outcomes through a series of patient interactions including customer care calls, refill reminders, and educational mailings.

The program’s high-touch patient interaction model is proven to increase diabetic patient market share and spend by approximately 30% through targeted adherence, retention, and reacquisition strategies.

Retention
Pharmacies turnover at least 35% of their diabetic patients each year. OmniLINK’s high-touch patient interaction model has proven to increase patient retention by over 30%. Specialized Customer Care Representatives guide patients through the Medicare maze and provide diabetes management support to ensure optimal outcomes thereby building customer loyalty.

Reacquisition
OmniSYS’ patient reacquisition campaigns target lost patients and identify the reason they stopped treatment or left the Pharmacy and/or the Manufacturer. Customer Care Representatives reinforce the importance of testing, offer personalized meter training and diabetes management support. OmniSYS has consistently achieved win-back success rates of 35%.

“The OmniLINK Advantage™ program has proven to significantly improve prescription adherence for diabetic patients resulting in better health outcomes,” said Tricia Fringer, President and CEO of OmniSYS. “We are uniquely positioned to manage this type of program given our 25+ years of experience interacting with diabetic patients, pharmacies, and manufacturers.”

About OmniSYS
Founded nearly three decades ago, OmniSYS has emerged as the recognized leader in Medicare Part B claims reimbursement and compliance programs for pharmacies, managed care organizations and commercial retiree plans. Our current programs support more than 30,000 pharmacies nationwide, processing over 40 million Medicare claims annually.

OmniSYS to speak at forum on Preventing Fraud, Abuse, and Waste in Medicare Advantage & Prescription Drug Plans in Philadelphia, January 30-31 2012

Mon, 14 Nov 2011 12:00:00 CDT

Coming Soon: On-Line Eligibility Verification Tool

Tue, 08 Nov 2011 12:00:00 CDT

OmniSYS' On-Line Eligibility Verification Tool will provide pharmacies with instant access to eligibility and plan coverage information for hundreds of Commercial and Medicaid Payers. Instant eligibility and plan coverage verification reduces eligibility related denials and provides visibility to the patient coinsurance responsibility.

Contact us today to learn more about how your pharmacy can benefit from OmniSYS' comprehensive On-Line Eligibility Verification Tool.

OmniSYS Launches Electronic Patient Record Archiving

Tue, 01 Nov 2011 12:00:00 CDT

OmniSYS recently announced the launch of their comprehensive new Electronic Documentation Management Solution.

With increased audit scrutiny, pharmacies are challenged with maintaining and accessing all of the Medicare required medical necessity documentation in a timely and efficient manner. OmniSYS' documentation management solution provides electronic storage and retrieval solutions to pharmacies. On-line access to all documentation allows pharmacies to easily store and quickly retrieve important patient records.

OmniSYS' comprehensive Electronic Documentation Management Solution reduces the risk of PHI breaches by eliminating paper, increases security as all documents are stored in a secure environment and improves the pharmacy's ability to meet Medicare response time deadlines with instant access to documents.

Bottom line: OmniSYS' Electronic Documentation Management Solution reduces administrative overhead, streamlines workflows, reduces security concerns and strengthens Medicare compliance.

Contact us today to learn more about how your pharmacy can benefit from OmniSYS' comprehensive Electronic Documentation Management Solution.

OmniSYS Prepared For NCPDP D.0 and ANSI X12 5010 Transition

Sat, 15 Oct 2011 12:00:00 CDT

OmniSYS is fully prepared for the D.0 and 5010 transition. Our team of healthcare experts have made significant progress with payer and vendor certifications for NCPDP D.0 and ANSI X12 5010 transactional and batch claims, eligibility and remittance processing. We currently process D.0 and 5010 transactions with numerous payers today and will continue to rollout as soon as the remaining payers are ready.

If you would like to know more about our conversion efforts, please Contact us today.

OmniSYS to host client webinar "Prepayment Reviews: Steps to Prepare for and Respond to these Life-Altering Events" facilitated by Jeff Baird, Brown & Fortuanto

Fri, 09 Sep 2011 12:00:00 CDT

OmniSYS to host client webinar "Diabetic Supply Reimbursement: Medicare's New Focus" facilitated by Jeff Baird, Brown & Fortuanto

Tue, 22 Feb 2011 12:00:00 CDT

OmniSYS Hosts 2nd Annual Partnership Conference

Wed, 22 Sep 2010 12:00:00 CDT

OmniSYS hosted our 2nd annual Partnership Conference on September 22nd and 23rd at the W Hotel in downtown Dallas. The event included representatives from across the industry including retail, mail order and outpatient care pharmacies as well as PBMs, MCOs and pharmaceutical manufactures. The two-day conference focused on how to effectively navigate the ever-changing and challenging Medicare landscape. Featured presentations included a key note address on Health Care Reform, Competitive Bidding, Preparing for an Audit, and Diabetes Education and Compliance Programs. In addition, OmniSYS unveiled our 2011 planned product expansion and provided a sneak peek of our next generation web and reporting tools. The event provided OmniSYS and our business partners with an opportunity to interact and identify solutions to pertinent issues facing the health care industry today.

OmniSYS to host client webinar "OmniSYS 2010 Partnership Conference - Navigating the Medicare Landscape" facilitated by Jeff Baird, Brown & Fortuanto

Wed, 22 Sep 2010 12:00:00 CDT

OmniSYS to host client webinar "OmniSYS 2010 Partnership Conference - Navigating the Medicare Landscape" facilitated by Jeff Baird, Brown & Fortuanto

Thu, 23 Sep 2010 12:00:00 CDT

OmniSYS Opens Dallas Office

Wed, 01 Sep 2010 12:00:00 CDT

OmniSYS is pleased to announce its corporate headquarters will be moved to Dallas, TX on September 1, 2010. The office will be located in Tollway Plaza II at the intersection of Keller Springs Road and the Dallas North Tollway, providing easy access to the greater Dallas area and Dallas airports. OmniSYS is opening this location to accommodate its business expansion. The Operations Center will remain in Greenville, TX.

OmniSYS to host client webinar "2000 Pound Gorilla: The NSC and the New and Modified Supplier Standards" facilitated by Jeff Baird, Brown & Fortuanto

Wed, 09 Jun 2010 12:00:00 CDT

On August 27, 2010, CMS published new and modified supplier standards. There are now 30 standards. These went into effect on September 27, 2010. The NSC has received increased funding and is taking an increasingly proactive role in scrutinizing HME companies to determine if they are complying with the supplier standards. Because the NSC can revoke or suspend a supplier number "with a flick of the switch," it is critical that the supplier meet all supplier standards and be prepared for a surprise site visit by an NSC inspector. This program will discuss the new and modified supplier standards and the steps that the supplier should take to comply with the standards. Among other issues, this program will focus on licensure requirements and W2 employees; facility and operational requirements (e.g., 30 hours per week/200 square feet); phone operations; and patient contact.

The pharmacist’s evolving role in vaccination delivery

Mon, 07 Jun 2010 12:00:00 CDT

Delivering immunizations is one step in the evolution of pharmacists in becoming more encompassing healthcare providers, which diversifies revenue, builds patient loyalty building, and differentiates a pharmacy's healthcare offering. While immunizations have historically created administrative challenges for pharmacists due to their medical benefit coverage and paper roster billing requirements, carriers are increasingly allowing pharmacies to electronically bill through ANSI 837 medical claims. In addition to Medicare Part B DMEPOS reimbursement for flu and pneumonia vaccinations, commercial insurance payers are now also allowing benefit coverage and reimbursement for pharmacist administered vaccinations.

OmniSYS, one of the nation's leading processors of electronic medical benefit immunization claims, published a whitepaper on expansion of immunization administration to pharmacy providers that outlines important new information regarding commercial payer benefits for immunizations.

OmniSYS to host client webinar "A Compliance Program is not Boring……Nor Something Dreamed Up by Starving Attorneys: It is the Pharmacy's Most Important Profit Center" facilitated by Jeff Baird, Brown & Fortuanto

Thu, 03 Jun 2010 12:00:00 CDT

OmniSYS to host client webinar "Growing Your Diabetic Testing Supply Business Within Legal Parameters" facilitated by Jeff Baird, Brown & Fortuanto

Thu, 08 Apr 2010 12:00:00 CDT

OmniSYS to host client webinar "Post-Payment Audits Are Here to Stay: How to Prepare / Respond to an Audit" facilitated by Jeff Baird, Brown & Fortuanto

Mon, 08 Feb 2010 12:00:00 CDT