This is very great presentation of CureMD.

1. Presentation
@Joe_Martin01CureMD Premium Services
Presenter: Joe Martin
Controlled Substances
With Ease
ePrescribe

2. Agenda
EPCS and its necessity?
Legal & Social Implications
Requirements
EPCS Enrollment Process
How to e-prescribe controlled substances with CureMD

3. Poll Question 1
How many controlled substances prescriptions do you send out on an average every
month?
NONE
5 OR LESS
BETWEEN 10 & 25
MORE THAN 25

4. What is EPCS?

5. EPCS provides practitioners with the option of sending prescriptions for controlled
substances electronically (Schedule II to Schedule V). It also permits pharmacies
to receive, dispense, and archive these electronic prescriptions. The rule was
published on March 31, 2010 and became effective on June 1, 2010.

6. Why EPCS?

7. 90 % of all doctors prescribe controlled substances
EPCS is now approved across all states apart from Missouri
Schedule II to V can be ePrescribed in all States (Vermont only allows
Schedule III to V)
Compliance with all federal and state level regulations
Decreases time and cost, increases accuracy, and prevents misuse
Start ePrescribing Controlled Substances to go completely paperless
Minimize your workload by adopting to the new technology right now
rather than waiting for further legislative obligations (MU3, ICD-10 etc.)
ICD-10 will have its own set of major changes that will deter your switch
to electronic prescriptions
PMP & PDMP
ROPES Registration (NYS only)
All major retail pharmacies are EPCS ready!

8. PROBLEM ?
09
EPCS Pharmacies % by State
Source: Dr First May 2015

9. Legal & Social Implications
The PROBLEM: Addiction to prescription drugs and deaths from overdoses
Drug overdose deaths
in New York have risen
56% since 1999
Nationwide, drug overdose
was the leading cause of
death from injury in 2012
Most drug overdose
deaths (53%) are caused
by prescription drugs
53%
Each month, 6.2 million
American adults use prescription
drugs non-medically
Deaths from opioid pain reliever overdoses are four times
the rate of heroin and cocaine deaths combined and, as
a percentage of total prescription drug overdoses, are up: forwomen since 1999 formen since 1999
6.2million56%
Each day,
46 Americans
die from an overdose
of prescription
painkillers
Source: Dr First

10. Legal & Social Implications
New York Fights Back
As part of the Internet System for Tracking Over-Prescribing (I-STOP) Act, all New York practitioners, pharmacists and other individuals
authorized to prescribe, administer or dispense controlled substances will be required to:
Beginning March 27, 2016, electronically
prescribe legend drugs (eRx) and controlled
substances (EPCS)
As of August 27, 2013, check the New York
prescription monitoring program (PMP) before
prescribing Schedule II – IV controlled substances
How Can the PMP and E-Prescribing Help?
Checking PMP and using electronic prescribing systems streamline clinical workflows and provide critical security measures designed to:
Prevent Prescription Drug Abuse
by making it easy to spot
overprescribing
Prevent “Doctor Shopping”
by making it easy to see a patient’s
controlled substance prescriptions
from other providers
Prevent Prescription Fraud
by eliminating paper prescription
pads that can be stolen, altered or forged
In 3 years,
up to 1.4 million
Rx pads were
stolen from NY
hospitals
Source: Dr First

11. Legal & Social Implications
facilities with e-prescribing capabilities by March 27, 2016. As of January 1, 2015:
New York’s healthcare IT software vendor community is moving quickly to enable providers, pracices, hospitals and extended care
Ambulatory EHRs serving 77% of NY providers are on target to
support eRx and EPCS, including leading systems
Acute EHRs serving 85% of NY hospitals are on target to support
eRx and EPCS
of NY pharmacies are
EPCS-ready
86%
of NY pharmacies are
eRx-ready97%80%
85%
Source: Dr First

12. EPCS Requirements
All physicians or NP/MA with DEA can ePrescribe CS
Strict Identity Proofing (IDP)
Two Factor Authentication Process
EPCS administrator should be assigned in practice

13. EPCS Enrollment Process
7 steps:
Registration for EPCS
Confirmation Letter from
Experian
Email Invite from DrFirst
IDP
Two Factor Authentication
Activate EPCS
Logical Access Control
IDP Transaction ID

14. IDP & Two Factor Authentication
Registration with Dr First
IDP through Experian®
IDP process help Video
Two Factor Authentication
No effect on Credit Score
IDP cannot be performed if your profile is locked!
Provider name should match in NPI Registry and Experian Profile
Security Code & Passphrase
Smart phone or token device can be used
PC/Laptop are not allowed

15. 2 types of Token Devices
Soft Token Hard Token
VSMT46618564
Credential ID
216154
28
Symantec VIP
Security Code

16. Which token device would you prefer to use for Two Factor Authentication?
Poll Question 2
Mobile device (Soft token)
Key chain device (Hard token)
Both

17. IDP & Two Factor Authentication

18. IDP & Two Factor Authentication

19. IDP & Two Factor Authentication

20. IDP & Two Factor Authentication

21. IDP & Two Factor Authentication

22. IDP & Two Factor Authentication

23. IDP & Two Factor Authentication

24. IDP & Two Factor Authentication

25. IDP & Two Factor Authentication

26. IDP & Two Factor Authentication

27. IDP & Two Factor Authentication

28. IDP & Two Factor Authentication

29. IDP & Two Factor Authentication

30. Contact Premium Services team for EPCS activation.
Note:
The user won’t be able to access the EPCS Logic Access Control Screen without the
EPCS Activation option available on the CureMD application. Please contact Support for
further assistance.
Enabling EPCS

31. The following steps should be followed to activate EPCS for a provider successfully.
1- Enter NPI number for that provider and click on Validate
2- Select the device. If the VIP access application is installed on the phone, the
eRx Admin needs to select it from the dropdown menu
4- Finally, the eRx Admin needs to enter the 6-digit OTP code that can be
viewed on a smart phone [iOS or android] or through a hard token device
3- Enter the passphrase that was created during the identity proofing process
Authorizing a Prescriber

32. Authorizing a Prescriber

33. Authorizing a Prescriber

34. To e- prescribe a new controlled substance via EPCS service, the prescriber needs to
select a drug and fulfill the following criteria:
The drug should be a controlled substance
Appropriate fields should be entered
Pharmacy should be CS enabled!
ePrescribing Controlled Substances

35. ePrescribing Controlled Substances

36. ePrescribing Controlled Substances
After documenting all the
details, the prescriber needs
to click on the eRx button at
the bottom of the screen.

37. A prescription preview screen will appear; the prescriber needs to click“OK”on it.
ePrescribing Controlled Substances

38. Once the prescriber clicks on the eRx button on the prescription screen, the system
will redirect to the signing in screen. Here the prescriber ID is verified via a Two
Factor Authentication process.
Two Factor Authentication process

39. Two Factor Authentication process

40. After that, the prescriber has to click on Sign and Send button. Now, the status of the
prescription shall change to“Queued”.
Status of an ePrescribed Controlled Substance

41. After two or three minutes the“queued”status of the prescription will be updated to“Sent”.
Status of an ePrescribed Controlled Substance

42. Application Workflow
EPCS Demonstration on the CureMD Application

43. Q & A Session

44. NextW
ebinar
Application for ICD-10
Jumpstart your CureMD
Aug 6, 2015 2:00 PM
Must attend for all physicians and practice managers

45. Thank you!
To find out more, please email premium@curemd.com
ICD10 Consultation Service
Credit Card Processing Service
eFax
Claim Scrubber
Look out for our email, containing the webinar recording.
Other Integrated CureMD Premium Services