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©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

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EPCS Overview

  • 1. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved
  • 2. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved CONTENTS • Overview • EPCS Process • Who Must Comply? • Audit Phases 2
  • 3. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved OVERVIEW 3
  • 4. ©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
  • 5. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved OVERVIEW This will provide: A reduction of paperwork and will mitigate the risk of forgery 5
  • 6. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved PROCESS 6
  • 7. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved PROCESS Logical access controls 7
  • 8. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved PROCESS Digital signature functionality Logical access controls 8
  • 9. ©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
  • 10. ©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
  • 11. ©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
  • 12. ©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
  • 13. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved WHO MUST COMPLY? 13
  • 14. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved Not a mandate to implement EPCS (Except New York) COMPLIANCE 14
  • 15. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved Practitioners / pharmacies that perform EPCS (Compliance with the DEA rule) COMPLIANCE 15
  • 16. ©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
  • 17. ©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
  • 18. ©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
  • 19. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved AUDIT PHASES 19
  • 20. ©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
  • 21. ©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
  • 22. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved SUMMARY 22
  • 23. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved Demonstrate design and operational effectiveness BENEFITS OF THE AUDIT 23
  • 24. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved Demonstrate design and operational effectiveness Meet regulatory or contractual mandates BENEFITS OF THE AUDIT 24
  • 25. ©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
  • 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 BENEFITS OF THE AUDIT 26
  • 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 BENEFITS OF THE AUDIT 27
  • 28. ©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
  • 29. ©2014 BrightLine CPAs & Associates, Inc. All Rights Reserved LEARN MORE >> Want to know more about EPCS? 29