340B Referral Capture

Identifies Eligible Prescription from External Specialist Visits

Expand the reach of your 340B drug discount program to include more patients utilizing external specialists outside of your health system's physician network.

Prescriptions from Patient Visits to Specialists are

Often Not Captured by TPA Software

Capturing referrals can be time-consuming and resource-intensive for a covered entity.

CPS 340B Referral Capture drives value for your covered entity. It assesses the number of visits not currently being captured by your program. It also optimizes your program by addressing compliance and documentation concerns.

The 340B Referral Capture Process

Patient sees your provider in a 340B qualified location of your organization

Decision is made to refer to a specialist for treatment of a specific diagonsis or condition (Specialist Provider)

Patient sees specialist provider at a specialist office in a 340B qualified location of your organization

Medication is filled one of your organization’s contracted or owned pharmacies.

CPS captures these prescriptions from your third-party administrator data

CPS analyzes this set of data, using proprietary software and an expansive network of physician offices to determine if a prescription might meet the standards for inclusion in your program

CPS collects all points of documentation required in order to meet HRSA audit standards

CPS sends any documentation obtained via fax or direct message to your organization and audits to ensure it is included in your medical record

CPS works with your third-party administrators to capture the claims which now meet the standards for inclusion in your 340B program

Your organizational revenue incrementally improves from this process

340B Referral Capture Process

One large Midwest regional health system with services across three states realized projected referral capture revenues.

Projected referral capture revenues

$1.8M

over 12 months

Actual referral capital revenues

$1.2M

over first 8 months

Let's Discuss Your Referral Capture Opportunity!

Interested in a no-obligation discovery call to explore your opportunity?

Let's connect to discuss how CPS 340B Referral Capture services can position your covered entity to bolster networks, retain escaping patients, and strengthen financial performance.