Dental Associates Realizes Clinical Efficiencies and Increased Patient Satisfaction with DoseSpot’s e-Prescribing of Controlled Substances Solution

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Dental Associates, a leading family group dental practice managing 14 dental clinics and over 100 dentists in Wisconsin, has realized clinical efficiencies and increased patient satisfaction since their launch of DoseSpot’s e-Prescribing of Controlled Substances (EPCS) solution in March of 2015.

Prior to the launch of DoseSpot’s e-Prescribing of Controlled Substances solutions, Dental Associates had deployed e-Prescribing software, but their dentists could only transmit non-controlled prescriptions electronically. As such, dentists wasted time electronically prescribing antibiotics and subsequently printing controlled substance prescriptions. DoseSpot now marries the two and gives Dental Associates’ dentists the ability to streamline care, spend more time with patients and discontinue the use of costly prescription printers and the associated tamper proof prescription paper.

Click here to learn how your company can simplify clinical workflows with e-Prescribing!

“We understand that healthcare technology is shifting and remaining innovative is in Dental Associates’ best interest. Our dentists find DoseSpot to be top-notch and they’re now able to spend more time with their patients rather than running back and forth between the patient’s chair and the prescription printer,” commented Donald Whamond, Chief Technology Officer, Dental Associates. “Printing prescriptions was not only wasting time and money, but also taking valuable time away from the provider-patient relationship.”

Dental Associates chose DoseSpot as its e-Prescribing partner due to DoseSpot’s unique boutique-style approach to customer service, the ease of e-Prescribing controlled and non-controlled prescriptions, and to enhance the overall security measures surrounding the prescription writing process within Dental Associates’ clinics.

“DoseSpot has made writing prescriptions easier and less time consuming. With the development of my prescription favorites list, it is easy for my staff and I to build a prescription and even change it if need be. Once the prescription is built, it is simple to select and send the prescription to the pharmacy. Life is good with DoseSpot!” said Dr. John Zweig, Chief Dental Officer, Dental Associates.

Register today for our free webinar addressing dentistry and the opioid epidemic on 9/22!

Dental Associates also wanted to stay ahead of the IT curve which in turn has allowed the company to better recruit and attract new dentists.

“Dental Associates prides itself on the patient-centric care model, therefore our patients’ well-being is of utmost priority and DoseSpot simply aligns with our company values,” Whamond added. “We can call any DoseSpot team member at any time and know they will answer right away. That includes Greg Waldstreicher, CEO, DoseSpot.”

“Like Dental Associates, DoseSpot is committed to offering innovative solutions to the dental market and we put our partners first in everything we do,” said Greg Waldstreicher. “To have the opportunity to deliver a comprehensive, personalized, and integrated platform for Dental Associates is a homerun for both parties.”

Simplify clinical workflows and improve patient outcomes with DoseSpot e-Prescribing integration for both controlled and non-controlled prescriptions. Schedule your free demo today at www.DoseSpot.com or contact Shauna Leighton, Shauna@DoseSpot.com.

About Dental Associates

Founded in 1973, Dental Associates is Wisconsin’s largest family-owned dental group practice with multiple clinics throughout the state and nearly 800 staff members. Dental Associates provides complete family dental services, both general and specialty dentistry, under one roof, from pediatric dentistry to specialized dental services for older adults with a focus on excellent care that is affordable, accessible and personalized. For additional information please visit www.DentalAssociates.com.

About DoseSpot

DoseSpot is a Surescripts™ certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit www.DoseSpot.com.

Company Spotlight: Baby Doctor

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Coined as “The Uber of Pediatricians,” DoseSpot customer, Baby Doctor is making waves with their latest on-demand services connecting parents with doctors.

Does your child have a sinus infection? A stomachache? How about a sore throat? Baby Doctor has you covered. Happy, healthy kids is their company’s mission and by implementing a service of boutique-style, personalized house calls, they are able to provide just that.

By using their website or app, parents are able to request a visit from a Pediatrician, Pediatric Nurse Practitioner, or Family Nurse Practitioner for a variety of symptoms a child may be experiencing and the provider appears at their home within 60 minutes or less.

This not only benefits parents, but insurance providers and emergency rooms throughout the city as well since it collectively saves them all time and money.

An average ER visit can cost upwards of $1,500 and two-thirds of ER visits aren’t true emergencies, but Baby Doctor offers their on-demand services for a fraction of the cost. Though they’re not considered an in-network provider, at least not yet anyways, Baby Doctor offers an itemized receipt for parents to submit to their insurance company for out-of-network reimbursement.

With their 50 board certified providers in Manhattan, Baby Doctor is hoping to expand to Brooklyn, the Bronx, and Queens by end of 2016, with further expansion into New Jersey come 2017.

By paving the way with their unique delivery model, Baby Doctor is devoted to providing an efficient, personalized and affordable means of healthcare to parents for their children, all while broadening patient engagement and levels of satisfaction.

Stay tuned for this blossoming company as it will undoubtedly remain at the forefront of on-demand innovation.

For more information on Baby Doctor, please visit their website: www.BabyDoctor.com.

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit www.DoseSpot.com.

Steering the Path to Change: Dentistry’s Role in Addressing the Opioid Epidemic

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In recognition of Pain Awareness Month, DoseSpot will be hosting a live webinar to discuss:

• Our nation’s current opioid epidemic by the numbers
• Dentists’ roles regarding prescribing habits and how they can help steer the path to change
• The face of addiction: understanding how prescription opioids from a dentist can fuel a painful, and often fatal, battle for patients
• The path ahead including state mandates, PDMPs, e-Prescribing, and other helpful tools to properly educate and promote safe prescribing habits within dental practices

Presenters:

Greg Waldstreicher, CEO, DoseSpot

Dr. John Zweig, Chief Dental Officer, Dental Associates

Donald Whamond, Chief Technology Officer, Dental Associates

Jason Wolan, Director of EHR Implementation, Great Expressions Dental Centers

Daniel Smelter, Director of Business Analysis, Benevis, Inc.

Register now to reserve your spot! We hope you can join us.

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.

e-Prescribing by the Numbers 2015

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Overdose Awareness Day: The Time to Stand Together is Now

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International Overdose Awareness Day

To some, this day may not mean much, but to others, it is a day to commemorate and remember loved ones that we lost as a result of overdose. Unfortunately, these fatal occurrences are in large part due to a horrible, stigmatized and chronic illness: addiction.

While there has been widespread media attention for how addiction “should” be categorized as outlined in the latest New York Times article, addiction, specifically with opioids, is still viewed as a moral failing, a flaw, even. The associated stigma often deters patients from receiving proper rehabilitation treatment and even if they do seek treatment, the government currently limits the number of patients a single provider may treat with drugs such as buprenorphine or methadone, which are both proven to reduce cravings and save lives. This leads to many patients relapsing.

Physicians, internists, and dentists are collectively responsible for providing 81.6% of opioid prescriptions in the United States and because of this, they have a very unique role in mitigating the impact of this opioid epidemic. Opioid addiction often starts at the hands of healthcare professionals simply trying to do their job, prescribing pain medications to relieve their patients of painful woes, especially during post-operative recovery.

While many prescriptions are meant for initial, short-term treatment, some doctors and dentists authorize refills time and time again because they want to help patients whom claim that they are still in pain. However, when the pill bottle and refills run out, these patients are left high and dry; looking for alternatives to create that euphoric escape they’ve become so accustomed to. This could mean an endless search of several different doctors to prescribe more substances (also known as doctor shopping), purchasing pills on the black market, or worse, turning to heroin as a cheaper and more readily available alternative.

As the Surgeon General, Dr. Vivek Murthy, reiterates in his recent letter to all of America’s doctors, many prescribers don’t realize how dangerous the drugs can be, or even how addictive they are because many were incorrectly taught that opioids are not addictive when prescribed for legitimate pain. Dr. Murthy further points out that overdose deaths from opioids have quadrupled since 1999 and pain medication prescriptions have risen to the point that there’s enough for every American adult to have their own bottle of pills. It’s a fair statement that the majority of clinicians do not enter the healthcare industry with intent to harm their patients, yet it’s also fair to say that lack of proper education has further fueled these prescribing patterns.

So, who’s to blame here? Is it the prescribers? The pharmaceutical companies’ aggressive marketing tactics in the 1990’s? Learned behaviors? The demands and expectations from patients?

The truth of the matter is: no one is to blame. Blaming only diverts the necessary explication of collectively coming together as a nation to address this epidemic. The imperative solution is education.

Dr. Murthy also addresses in his letter that now is the time for clinicians to properly educate themselves on how to treat pain safely and effectively and screen patients for opioid use disorder and provide them with helpful resources and evidence-based treatment options. Furthermore, to shape how the rest of the country sees addiction, clinicians should shamelessly speak about it and start treating it as a chronic illness.

As a part of this ongoing education initiative, DoseSpot will be hosting a webinar in regards to the opioid epidemic that will include helpful tips and resources to stay ahead of this crisis. Stay tuned for more details.

Sources: Time; CNN; Time; Aetna; Surgeon General Letter; Shatterproof; CBS News

About DoseSpot:

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.

The Insider Threat: The Dentist

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In our last installment of the Insider Threat series, we look to fellow dentists within a dental practice as a potential risk for prescription fraud. How, or better yet why, would a dentist commit such a crime if they are lawfully allowed to authorize prescriptions for their patients? With the opioid epidemic upon us, it’s an unfortunate reality that individuals dealing with a substance abuse issue will go to great lengths to obtain such substances. These drugs do not discriminate regardless of one’s socioeconomic status and sadly, that includes those whom are meant to help combat this crisis: dentists and doctors.

Dr. Joseph Gorfien, a partner at a dental practice in Florida, utilized a fellow dentist’s professional license information and paper prescription pad to forge and fill prescriptions for Oxycodone without his partner’s knowledge. Gorfien took advantage of not only his own position’s authority, but his partner’s as well.

Dr. Mark Horowitz, although being investigated for a multitude of bad behaviors, had a suspended license and decided to utilize a fellow dentist’s prescription pad to obtain 130 pills of Oxycodone for personal use. The dentist in which he stole from only worked in that particular office one day per week and left his prescription pad readily available for anyone to swipe. Horowitz forged the prescriptions as well as the other dentist’s signature.

If a dentist is not utilizing another dentist’s DEA number for their own personal or financial gain, they may be abusing the professional relationships with those that they employ. Dr. Maurice Zybler, a dentist in Massachusetts, was recently accused of fraud because he was using his employees to acquire pain medications for more than a decade. He used his ability as a dentist to prescribe pain killers for his own personal use and wrote fraudulent prescriptions in his employee’s names in which they would fill and return back to him. If they didn’t fill the prescriptions, they expected to be fired.

 Click here to learn more about e-Prescribing and start saving time and money today!

While most dentists are generally aware of potential theft of DEA numbers or prescription pads from patients or staff, they may not question their equivalent peers. A recent survey conducted by Dentist’s Money Digest, further proves this state of ignorance. Nearly one in three dentists claim that they are personally aware of a dentist colleague with a painkiller problem and 65% said they see opioid abuse as a “minor” problem, while another 28% said it is a “significant, but not pressing” issue.

“However, dentists’ roles in the opioid epidemic extend beyond the prescription pad. Many dentists end up addicted themselves. Addiction can stem from stress, personal issues, or simply the access healthcare workers have to such drugs.” Dentist Money Digest

The role of dentists, or any healthcare provider for that matter, within this opioid epidemic is crucial to the success of overcoming this crisis. Not only should dentists consider establishing office policies that can prevent or mitigate the diversion of opioids, but should also partake in ongoing education initiatives regarding responsible practices for prescribing such substances. With colleagues suffering from their own substance abuse issues, assistance, respect and understanding should be of utmost priority, regardless of any role within a dental practice and especially with the perceived stigma associated with addiction.

As part of these policies, dentists should consider e-Prescribing as a beneficial tool to safeguard their prescriptions from patients, staff and fellow dentists. Since e-Prescribing requires the entry of two unique passcodes for controlled substances, it will diminish the element of risk pertaining to stolen prescription pads and DEA numbers that are left out in the open for anyone to take. Furthermore, e-Prescribing is a proven method to help curb the opioid dilemma relative to doctor shopping and places a checks and balances system on prescribing behaviors. The benefits are exceedingly visible and with 3-9% of opioid abusers using forged written prescriptions, it’s a commonsense solution.

We hope you enjoyed our Insider Threat series and that it has given you informative, yet eye-opening insight into the potential threats your dental practice may harbor. This is not to say that employees or dentists cannot be trusted, but with 58% of dentists falling victim to prescription fraud, a change must occur for the safety and wellbeing of a dental practice, as well as their patients.

Sources: University of Kentucky; Boston.com; SunSentinel; prweb; Dentist’s Money Digest

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com

The Insider Threat: The Assistants

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As we continue our Insider Threat series, we look to the role of the assistants within a dental practice. Specifically, the office assistant and the dental assistant. Though their responsibilities may vary from one practice to another, as well as from each other, assistants are often tasked with a myriad of similar duties, including having access to a dentist’s prescription pad or prescription software. The dental assistant, in particular, serves as a direct extension to the dentist and typically writes or calls in prescriptions on the dentist’s behalf.

Though the perceived trusting relationship between a dentist and their assistant(s) may alleviate the daily mundane tasks for the dentist, how much trust is too much? Should a dentist’s prescription pad or prescription software really be that accessible to anyone within the office? Let’s take a deeper dive and review three cases of prescription fraud committed by an office or dental assistant.

First up, in a West Michigan dental office, an office assistant decided to stay after hours and throw a party for some friends. Not only were multiple items stolen, but her friends utilized the dentist’s DEA number to call in and obtain unauthorized prescriptions from multiple pharmacies. Of the items stolen were the dentist’s prescription pad and signature stamp, of which, both were laying around in plain sight and available for anyone to take.

Another office assistant in Bethlehem, PA, whom had free access to a dentist’s prescription pad, admitted to taking two prescription slips, filling them out in the dentist’s name and authorizing 10 Percocet tablets on each for a family member. Not only were the unauthorized prescriptions filled, but the quantity dispensed was altered from 10 to 20 pills, which is easy to do given that they were paper prescriptions.

Lastly, a dental assistant in Alaska was found guilty of prescription fraud for phoning in numerous prescriptions for Vicodin on behalf of the dentist for a non-patient. In her capacity working in the dental office, she was allowed to call in prescriptions for patients, but took complete advantage of that authority. The pharmacist found the situation to be suspicious and contacted the dentist, whom confirmed that he had never authorized such prescriptions.

While the saying “any publicity is good publicity” may work in certain situations, bad press for a local dentist can be extremely detrimental. All three articles pertaining to the stories above include the dentist’s name and practice location, therefore there is no real way to hide from such unfortunate circumstances and stories like these have the potential to deter both current and prospective patients from a dental practice.

Luckily with e-Prescribing, there is no more need for paper prescriptions, therefore no more altered dispense quantities and no more stolen prescription pads. Furthermore, prescriptions will no longer need to be phoned in since it’s a simple click to send a prescription on its way to the pharmacy with no intermediary. A significant decline will also occur relative to the rate of fraud, resale and abuse of controlled substances because e-Prescribing secures all information exchanges from diversion.

 Click here to learn more about e-Prescribing and start saving time and money today!

This is not to say that assistants cannot aid a dentist with their patient’s prescriptions, quite the opposite in fact. When utilizing DoseSpot and with a dentist’s permission, office and dental assistants can receive their own e-Prescribing account and create prescriptions on behalf of the dentist. However, the dentist must utilize their own unique security passcodes to authorize and send the prescriptions along to the pharmacy, which is especially important when prescribing controlled substances.

To complete our Insider Threat series, we will be discussing how it’s not only office staff, but also fellow dentists, who can be a potential risk for prescription fraud within a dental practice. Look out for our next installment coming to you on Thursday, August 25^th!

Sources: Juneau Empire; Wood TV; WFMZ

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com

The Insider Threat: The Office Manager

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To kick off our Insider Threat series, we shine light on dental practice Office Managers and the trusting relationship they share with dentists. After all, the office manager is meant to be the dentists’ point person who relieves them of administrative and financial duties within the office. Therefore, when it comes to the clinical management of patients, how much control should office managers have? Should office managers have access to the dentist’s prescription pad or prescription software?

Let’s take a look at Nicole Allenton, a now ex dental practice office manager in Washington state whom is serving one year in county jail for forging numerous prescriptions. Utilizing the office’s practice management software, Allenton took advantage of her position of trust and authority to print and fill 15 unauthorized pain medication prescriptions for herself and family members. None of whom were the dentist’s patients and sadly, this wasn’t her first time committing prescription fraud. She previously worked as a dental hygienist in another dental office and pulled off another non-sophisticated scheme to receive pain medication prescriptions simply by phoning the pharmacy “on behalf” of the dentist.

How could this possibly happen, you ask? Regardless of the trust factor, or lack thereof, the computer software in which the dental office deployed was not equipped to handle e-Prescribing. Although prescriptions were entered into the computer system, they could not be transmitted electronically to the pharmacy – they had to be printed, thus giving Allenton a perfect opportunity to take advantage of her superior’s handy DEA number and signature.

 Click here to learn more about e-Prescribing and start saving time and money today!

With written, printed or phoned in prescriptions, there are no checks and balances in place. Since e-Prescribing requires two-factors of authentication for controlled substances, Allenton wouldn’t have been able to forge any prescriptions since a dentist must enter two unique passcodes, including a 6 digit passcode that changes every 30 seconds. Furthermore, e-Prescribing provides a fully electronic audit trail which gives dentists complete insight into all of their prescription activity.

The aftermath pertaining to this case is substantial and it’s safe to say that the price to pay for not controlling prescription access is no laughing matter. Not only did Allenton end up behind bars, but as a result of her actions the two offices in which she was employed experienced severe financial repercussions and one office had to close its doors altogether.

Unfortunately, there are many instances in which a dental office employee has committed prescription fraud. As we will uncover in our next two cases, the office manager isn’t the only potential Insider Threat. Stay tuned for our next case, The Assistants, coming to you on Tuesday, August 23rd!

Sources: Tri-City Herald; News Talk

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com

The Insider Threat

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In recent years the trusting relationship between dentists and their staff has come under scrutiny. Questions such as ‘how much control should my staff have?’ or ‘can my staff have access to my prescription pad?’ are questions posed in a dental office on a day-to-day basis, or so we hope. With 58% of dentists falling victim to prescription fraud, an issue that seems to be hitting dentists is Identity Theft. Not identity theft in the usual sense, but specifically the misuse of a dentist’s DEA number, forged signatures and stolen prescription pads.

The culprit? The Insider Threat comprised of office staff and fellow dentists. As the opioid epidemic kicks into full gear, dental offices are seeing the highest rate of fraud yet with forged prescriptions, specifically for controlled substances, and unfortunately staff members with access to the dentists’ prescription pads are at fault. However, as you will read in Case 3 which will be posted on Thursday August 25^th, dentists also need to safeguard their prescription pads from other dentists! This is not to say that office staff and peers cannot be trusted or that they’re the sole cause of prescription fraud, not at all. However, how much trust is TOO much without proper protocols in place to ensure checks and balances for every prescription being written?

In 2016 alone, there have been numerous cases where an employee of a dental office has been behind the forged prescriptions and stolen prescription pads, which has ultimately led to dentists hanging the good old closed sign on the front door of the office.  This is the type of financial implications such a crime can impose.

Over the next week, we will be discussing specific cases in which a staff member has taken advantage of their employment to receive or distribute unauthorized prescriptions, as well as useful tools to help combat your potential Insider Threat. Stay tuned!

Case 1 – The Office Manager. Thursday, August 18^th

Case 2 – The Assistants. Tuesday, August 23^rd

Case 3 – The Dentist. Thursday, August 25^th

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.

Bridging the Gap Between Telehealth and Behavioral Health

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Improving the U.S. healthcare system requires the simultaneous pursuit of three ideals: improving the experience of care, improving the health of populations and reducing per capita costs of healthcare. “Value-based care” after all, does have its reasons behind the term. In keeping up with this new delivery model, it’s important to understand how behavioral health attributes to population health, its effects on the healthcare system and the nation’s bottom line. This is where technology can play a major role.

In a given year, nearly 44 million adults experience mental illness, with a quarter of them living with a substance use co-disorder. Increasing access to mental health professionals via technology is simply a smart solution as more and more individuals grapple with suicide, addiction, and other mental health issues. Unfortunately, the stigma often associated with mental illness is creating a barrier to treatment, but telehealth companies are realizing this enormous growth opportunity and are remaining at the forefront by providing a more convenient and less expensive medical consultation.

Click here to learn more about e-Prescribing and start saving time and money today!

Since counseling really only requires the ability for patients and providers to speak via video or phone, utilizing telehealth applications allows patients to receive treatment without judgement in the comfort of their own home. It creates a safe space for mental health dialogue, thus aiming to reduce hospital admissions and its associated costs. Therefore, behavioral health must embrace technology and its ability to bridge the gaps in care to the benefit of patients nationwide.

To expand upon the evolving increase in technological access to care, it’s important to note that less than 50% of Americans who are prescribed medications to treat mental health conditions take them as directed, if at all, according to industry reports. Marrying telehealth and efforts such as medication adherence programs can assist a patient’s road to recovery while reducing the $193.2 billion in lost earnings per year associated with serious mental illness in America.

Sources: Health Affairs; HealthcareDIVE; National Alliance on Mental Illness; Forbes

About DoseSpot

DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com.