Topics InHouse Drug Search:  
Introduction: Certain drugs can be dispensed directly within the clinic, and these are managed through the In-House Drug Master. This screen stores all the In-House drugs that can be prescribed and dispensed based on their availability within the clinic.

In-House Drugs are also referred to as Clinic Preferred Drugs. To add a drug to the list of In-House drugs, users can select the desired medication using the Add button. Only Dispensable drugs are displayed in this search, ensuring that the selected drugs meet the criteria for in-house use.

Users can assign a CPT or HCPC code to the selected in-house drug for billing purposes. While the assigned code can be modified, it cannot be left blank. If a blank code is required, the drug must first be removed from the in-house list and then re-added. This ensures that all in-house drugs are correctly coded for compliance and billing accuracy.

Field Description:

Del checkbox: This checkbox is used to delete a specific drug from the In-House Drugs list. To remove a drug, select the checkbox corresponding to the entry you wish to delete and then click the save button.

Drug Name: This column displays the name and strength of the drug. To add a drug to the In-House Drugs list, click the Add button to open the Dispensable Drug Names search and select the desired drug.

NDC Code: Enter the NDC code, which uniquely identifies each product version by manufacturer, strength, and packaging.

Dispensable icon: After adding a drug, it is essential to enter the drug details through the Drug Details Edit popup, which opens on clicking this icon. This allows for the automatic population of information such as dosage quantity and unit, frequency, number of days, bulk quantity and unit, direction and pharmacy notes, so that it doesn’t need to be manually entered each time the doctor prescribes the same medication.

Billable Code: The CPT/HCPC button opens the Assign Codes CPT/HCPC popup which allows the linking of specific drugs with CPT and HCPC codes, which helps with accurate billing for medications that will be administered in the clinic. Click the Add CPTs/HCPCs button on this popup to open the CPTs/HCPCs search popup and select the required codes from the All tab, which shows all types of codes, or the Custom tab which displays third-party codes. Codes can be searched using 3 radio buttons:
  • Code/Description: Select this option to enter either a CPT code or the code description in the text field to find results.
  • SNOMED US: Select this option to enter a US SNOMED code directly in the text field to find results.
    Note: Description-based search is not supported for SNOMED.
  • SNOMED Int’l: Select this option to enter an International SNOMED code directly in the text field to find results.
Upon searching, the popup displays the Code Type, Code Type Description (e.g., SNOMED US), Code, and SNOMED Int'l. An Add to Preferred icon is visible only for Provider login. For specialist providers, clicking this icon adds the selected code to the Preferred tab while adding a code from the Assessment screen, making frequently accessed codes easier to use.

To select a code, click the checkbox to the left of the code and click ok to close the popup and add the selected code to the Assign Codes CPT/HCPC popup. Clicking close will close the popup without adding the code.

The following information is displayed on the Assign Codes CPT/HCPC popup for each code:
  • Sel: Select the checkbox next to the drug's code. Only the records with selected checkboxes will be added on clicking the Ok button.
  • Type: Displays the type of code, such as CPT or HCPC.
  • Name: Displays the name of the added CPT/HCPC code.
  • Code: The column displays the added CPT or HCPC.
  • SNOMED Code: The column displays the SNOMED code.
  • Mod/ICD9: This field provides space for additional modifiers or legacy ICD-9 codes, if applicable. Modifiers add more detail to a code, such as unique circumstances affecting billing or reimbursement, while ICD codes are used for diagnosis coding.
  • Units: Enter the dosage units, with a character limit of up to 3 digits. This field indicates the number of dispense units for the drug.
  • BNG: This field determines whether the same or separate CPT codes are used for billing government and non-government insurances using three dropdown options: Both, Non-Govt, or Govt. If the same CPT code is used for billing both government and non-government insurances, select the Both option. However, if different CPT codes are required (e.g., one for government insurances like Medicare/Medicaid and another for private insurances), specify two separate CPT codes. In such cases:
    • When the Medicare checkbox is selected in the Encounter Type, the Govt CPT code is applied.
    • If the checkbox is not selected, the Non-Govt CPT code is used for billing.
  • Rev. Code: Enter the revenue code, a three-digit number used on hospital bills to indicate either the patient's place of treatment or the type of items received as part of their treatment. Revenue codes are primarily used on UB04 or institutional claims, which are processed electronically for hospital claims. These codes help communicate to the insurance company details such as the location of treatment or the services provided to the patient.
Justification: Justification provides detailed information explaining the reason for prescribing a particular drug. This information is recorded alongside the drug prescription and is displayed in the Progress Notes for clinical reference. Justifications can be added and managed from the Settings → Configuration → Output Templates column → Forms Master screen under the JUSTIFICATION classification. The Clear hyperlink is provided to clear the selected Justification template.

Action Buttons:

save button: Click on this button to save the entered or updated drug details to the InHouse Drug Master database. Once saved, the drug becomes available for selection as an InHouse drug on the Prescription screen.

reset button: Click on this button to discard any unsaved changes and revert the drug details to their previously saved state.