The module is designed for reviewing pharmacists to check prescriptions as concerns compliance with prescription and indication restrictions on the basis of the data on reported healthcare services. The system automatically checks compliance with prescription and indication controls during a calculation and subsequently presents these results to the user for evaluation and approval. The automatic evaluation checks each medication, dietetic product, or medical device. For each prescribed product, a detailed evaluation of the prescription can be displayed, including the compliance or non-compliance with partial requirements set out by the indication restriction, which are shown graphically. The reviewing physician expresses agreement or disagreement with the assessment of compliance or non-compliance with the prescription controls.
Automated processing and checking of input data - medications, dietary supplements, and medical devices
1,183 indication groups have been created and over 4,000 controls have been performed
Evaluated results are displayed in a well-arranged format to the user – reviewing physician along with relevant healthcare services provided to the insured person, which are also relevant for assessing the legitimacy of the product prescription
Main Benefits
Financial savings as concerns expenditures on medications and medical devices
Fraud detection – detection of unjustifiably prescribed products
Fraud prevention – in case of module integration into online ePrescription controls