Automated MTM Eligibility Checks
Cloee-Rx™ can identify if new or existing beneficiaries are eligible for MTM. Cloee-Rx™ uses claims data submitted to major payers to verify if a beneficiary meets the prescribed drug criteria. Dynamic engagement campaigns before and after prescription services allow Cloee-Rx™ to qualify for disease criteria.
MTM Enrollment
Cloee-Rx™ enrolls beneficiaries who meet MTM services criteria into utilization engagement campaigns. These campaigns deliver personalized messaging outlining the benefits of your community pharmacy MTM program and the no-cost obligations. Beneficiaries can opt-in for MTM services from this campaign and complete the initial face-to-face CMR during their next pharmacy visit.
Initial MTM Session
Cloee-Rx™ offers two interfaces, a beneficiary and a pharmacy interface. Beneficiaries can add information and track information through the beneficiary interface. This information includes current medications and allergies. During MTM sessions, pharmacists can access beneficiary information and use pre-built worksheets to document MTM encounters.
Follow-up MTM Session
Major payers support up to 7 follow-up MTM sessions in a calendar year. Follow-up sessions are eligible for Telehealth services. Cloee-Rx™ provides functionality that allows pharmacists to schedule beneficiaries and conduct video-enabled MTM sessions.
MTM Session Documentation
Cloee-Rx™ allows pharmacists to document each MTM session digitally. After each MTM session, the beneficiary receives;
Submitting MTM Claims
Cloee-Rx™ creates documentation for every MTM session, simplifying the process for community pharmacists to submit claims and receive payment for the MTM services they offer to beneficiaries.
Optimized MTM Data Sharing
Cloee-Rx™ allows community pharmacists to share medication data with the beneficiary's primary care provider. With Cloee-Rx™, pharmacists can search our provider directory and send MTM documentation directly to the provider EMR.