Clinical Intervention Center
Technicians and pharmacists dedicated to improving care.
Increased Safety
and Optimized
Outcomes
The Clinical Intervention Center (CIC) is a specialized team of technicians and pharmacists dedicated to increasing resident safety, managing therapeutic interchange programs and resolving insurance obstacles. As a highly skilled clinical team with a deep knowledge of the clinical landscape, the CIC implements lower cost solutions for higher levels of care – so your nursing staff can spend more time with residents without any medication interruptions.
Our Clinical Intervention Services
Medication Review
The CIC reviews high-risk medications and provides recommendations of lower-cost generic alternatives for brand name medications, increasing safety and cost-savings for both the facility and resident. By identifying possible complications and suggesting alternatives, the CIC can help reduce the risk of dangerous drug interactions, increase medication savings and improve resident care.
Therapeutic Interchange Program
With a generics-first approach, our therapeutic interchange programs optimize resident care and generate cost savings for your facility by identifying and recommending medications with prescriber-approved alternatives. These programs are tailored for specific scenarios within the prescription process, with procedures for substitutions at time of fulfillment, rejections by a third-party and retrospective interchanges as needed. With each interchange made, the CIC also provides superior formulary reporting for compliance and regulatory adherence.
Rejection Management
The CIC streamlines communication between insurance, your pharmacy, prescribers and your facility to find covered alternatives for medications or provide prior authorizations if medications are rejected. With an innate knowledge of the insurance landscape and efficient processes, the CIC easily manages insurance rejections on your facility’s behalf to give your staff more time to spend caring for residents.
Electronic Prior Authorization
Electronic prior authorization (ePA) is an automated process that delivers required resident health and medication information to the resident’s prescription plan for coverage determination. Submitted either by the CIC or even by your in-house nursing staff, our ePA process reduces the overall turnaround time on coverage rules by at least seven days when compared to faxing prior authorizations. By shortening prescription approval periods and avoiding non-covered charges, ePAs ensures all resident medication is approved in a timely and cost-effective manner.
Collaborative Practice Agreements
Omnicare offers robust, payer rule compliant collaborative practice agreements (CPA) that allow qualified pharmacists from the CIC to complete and submit prior authorizations on behalf of your facility. CPAs reduce prior authorization turnaround time by 71%, decrease repetitive outreach and lessen staff demands, preventing unnecessary interruptions in resident care and drug therapy due to coverage policies.
*EPAs and CPAs are only available in certain states. Request a consultation to learn more about what services are available for your facility.
Non-Covered Rules
When prescribed medication is not covered by insurance, the CIC proactively communicates with facilities and payers to address issues to either find alternative options or assist with insurance claims. If a claim is rejected, our non-covered rules allow pharmacies to take immediate action, avoiding medication cancellations and therapy interruptions.
The CIC reviews high-risk medications and provides recommendations of lower-cost generic alternatives for brand name medications, increasing safety and cost-savings for both the facility and resident. By identifying possible complications and suggesting alternatives, the CIC can help reduce the risk of dangerous drug interactions, increase medication savings and improve resident care.
With a generics-first approach, our therapeutic interchange programs optimize resident care and generate cost savings for your facility by identifying and recommending medications with prescriber-approved alternatives. These programs are tailored for specific scenarios within the prescription process, with procedures for substitutions at time of fulfillment, rejections by a third-party and retrospective interchanges as needed. With each interchange made, the CIC also provides superior formulary reporting for compliance and regulatory adherence.
The CIC streamlines communication between insurance, your pharmacy, prescribers and your facility to find covered alternatives for medications or provide prior authorizations if medications are rejected. With an innate knowledge of the insurance landscape and efficient processes, the CIC easily manages insurance rejections on your facility’s behalf to give your staff more time to spend caring for residents.
Electronic prior authorization (ePA) is an automated process that delivers required resident health and medication information to the resident’s prescription plan for coverage determination. Submitted either by the CIC or even by your in-house nursing staff, our ePA process reduces the overall turnaround time on coverage rules by at least seven days when compared to faxing prior authorizations. By shortening prescription approval periods and avoiding non-covered charges, ePAs ensures all resident medication is approved in a timely and cost-effective manner.
Omnicare offers robust, payer rule compliant collaborative practice agreements (CPA) that allow qualified pharmacists from the CIC to complete and submit prior authorizations on behalf of your facility. CPAs reduce prior authorization turnaround time by 71%, decrease repetitive outreach and lessen staff demands, preventing unnecessary interruptions in resident care and drug therapy due to coverage policies.
*EPAs and CPAs are only available in certain states. Request a consultation to learn more about what services are available for your facility.
When prescribed medication is not covered by insurance, the CIC proactively communicates with facilities and payers to address issues to either find alternative options or assist with insurance claims. If a claim is rejected, our non-covered rules allow pharmacies to take immediate action, avoiding medication cancellations and therapy interruptions.