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Frequently Asked Questions

Answers for Healthcare Providers

Clear answers about medication monitoring, UDT, Tele-TOX, technology, laboratory coordination and working with Toxicology Management Services.

TMS is not a laboratory. TMS coordinates qualified laboratory partners while managing the workflow, technology, compliance and reporting around your program.

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General

Who TMS is, who we serve, and where we operate.

Toxicology Management Services (TMS) is a medication monitoring management and consulting company that helps healthcare organizations implement, coordinate and optimize medication monitoring programs. TMS is not a laboratory.

TMS provides workflow design, technology for ordering and results, laboratory coordination, compliance support, billing guidance, staff education and ongoing operational consulting — all tailored to each practice's specialty, patient population and existing systems. Practices work with one accountable partner instead of assembling a laboratory, a technology vendor, a compliance consultant and a billing advisor separately.

No. TMS does not perform laboratory testing. TMS coordinates qualified, independent laboratory partners while helping providers streamline medication monitoring workflows, technology, compliance and reporting.

This distinction matters clinically and operationally. Testing is performed only by qualified laboratory partners under their own accreditations. TMS manages the surrounding program: how orders are placed, how specimens move, how results return to the record, how documentation is maintained and how staff are trained.

TMS supports physicians, behavioral health providers, rehabilitation centers, pain management clinics, orthopedic practices, primary care providers, workers' compensation organizations, skilled nursing facilities and other healthcare organizations that require structured medication monitoring.

Programs are also built for integrative and functional medicine practices, addiction treatment programs, hospital outpatient departments and multi-site medical groups. Scope adapts to the setting — a single-provider clinic and a twelve-location group use the same written standard applied at different scale.

Yes. TMS can coordinate relationships with two laboratory partners when appropriate, giving practices additional laboratory options and operational flexibility.

Laboratory availability, testing capabilities and network participation vary by practice, payer, location and laboratory.

Yes. Practices work with a consistent TMS contact for laboratory coordination, implementation, workflow questions, troubleshooting and ongoing support.

Yes. LabSource provides web-based ordering across multiple practice locations, along with test-status visibility and access to laboratory results.

Yes. TMS provides multi-panel point-of-care urine drug-testing cups for appropriate healthcare practices and treatment programs that use preliminary onsite screening within a provider-directed monitoring protocol.

Contact TMS for current pricing and availability. TMS can also help practices incorporate point-of-care screening into the broader medication-monitoring workflow.

A point-of-care cup provides a preliminary onsite screening result. Laboratory confirmation is performed and reported by a qualified laboratory partner when the treating provider determines it is appropriate under the testing protocol.

Use the TMS business inquiry form or call 800-599-6193 to ask about current point-of-care cup pricing and availability. Do not include patient information in the website form.

Yes. Tele-TOX supports remote urine and oral-fluid (saliva) collection within a provider-directed workflow, using mailed kits that patients self-collect and send to the laboratory.

Laboratory partners may perform confirmatory testing using urine or saliva specimens, depending on the ordered program.

TMS headquarters are located in Simi Valley, California. For more than 15 years, TMS has supported physicians with medication-monitoring and urine-testing program management.

Because implementation, technology and program review are delivered remotely and on site as needed, geography does not limit program scope. Laboratory coordination is arranged so specimen logistics and turnaround expectations fit each practice's workflow.

Ask a question through the online form or call 800-599-6193. Please do not include patient information in any website form.

Requests are routed to a named medication monitoring consultant rather than a general queue, so the first conversation is already with someone who can scope a program for your specialty.

Medication Monitoring

What medication monitoring is and how programs are built.

Medication monitoring is a structured clinical process that helps healthcare providers document medication adherence, identify unexpected findings, support prescribing decisions and maintain appropriate clinical documentation.

In practice, monitoring combines a written protocol, a defined testing cadence based on clinical risk, consistent documentation and a reliable path for results to reach the provider. The value comes from the structure around the testing, not the testing alone.

Medication monitoring helps providers make informed clinical decisions while supporting patient safety, documentation and practice workflows.

A documented, consistently applied program supports the reasoning behind prescribing decisions, gives staff a repeatable process, and produces records that hold up under internal or external review.

A TMS program follows five stages: assessment of your current workflow, protocol and program design, technology and ordering setup, laboratory coordination, then staff training with ongoing review.

Orders are placed digitally, specimens are routed to a qualified laboratory partner, completed reports return through the applicable reporting workflow, and documentation templates capture the clinical rationale. TMS owns the coordination at every step; the treating provider owns every clinical decision.

No. Clinical interpretation always remains the responsibility of the treating healthcare provider.

TMS makes results easier to receive, review and document, and provides education on how reports are structured — but never renders clinical judgment or advises on individual patient care.

Yes. Every practice has different specialties, patient populations, workflows and compliance needs, so TMS designs a customized program rather than applying a one-size-fits-all template.

Customization covers testing cadence, panel selection guidance, documentation templates, technology configuration, staff roles and reporting. Programs are revisited on a defined cadence as the practice or requirements change.

Addiction Treatment

Addiction treatment, behavioral health and rehabilitation monitoring programs.

Yes. TMS builds medication monitoring programs for behavioral health providers, addiction treatment programs and rehabilitation centers.

These settings often need a defined cadence, clear patient communication and documentation that reflects level of care. Programs are designed around the treatment model rather than imported from a different specialty.

Programs are structured, predictable and explained to patients as part of routine care rather than applied as a punitive or ad hoc measure.

TMS provides patient-facing explanation materials and staff education so monitoring is presented consistently by every team member.

Tele-TOX

Remote medication monitoring for telehealth and hybrid care.

Tele-TOX is TMS's remote medication monitoring workflow designed for telehealth and hybrid care, connecting a virtual encounter to compliant specimen collection and online results.

The workflow covers provider ordering, patient instruction, mailed collection materials, return shipping to a qualified laboratory partner and results delivery back to the provider — so remote patients are not excluded from a monitoring program.

Yes. The Tele-TOX workflow supports remote collection using mailed collection materials and return shipping through qualified laboratory partners.

Collection materials include written and visual instructions, identification and chain-of-custody documentation, and prepaid return packaging so patients follow a single clear process.

No. Tele-TOX provides another operational workflow for use when remote monitoring is clinically appropriate.

Most practices run both: in-office collection where patients are already present, and Tele-TOX where distance, mobility or a virtual care model makes remote collection the practical option.

Yes. Tele-TOX helps connect telehealth encounters with remote specimen collection and online results workflows.

The order can be placed during or after the virtual visit, the patient receives collection materials, and results return through the same reporting workflow used for in-office monitoring — keeping documentation consistent across care settings.

Technology

Online Test Management, ordering, results and access.

Online Test Management is TMS's digital workflow environment for ordering, tracking, reviewing and managing medication monitoring activities.

It replaces paper requisitions and status phone calls with digital ordering, order tracking, results access, practice-level reporting and role-based permissions — so staff can see where every order stands without calling anyone.

Yes. Completed laboratory reports are available through the applicable reporting workflow after laboratory processing.

Access is role based, so providers, administrators and support staff each see what their role requires. Reports remain available for later documentation and review.

Yes. The platform is designed to support practices of different sizes, from a single provider to multi-location groups.

Multi-site organizations can standardize ordering and documentation across locations while retaining location-level visibility and reporting.

They are the sign-in destinations for existing users: LabSource is the ordering and results environment for practices, and RepSource is the representative portal.

Both are reachable from the Sign In page. Contact TMS if you need credentials or access support.

Laboratory Coordination

How testing partners are selected and managed.

TMS helps coordinate relationships with qualified laboratory partners based on each practice's needs.

Selection considers the testing your program requires, applicable qualifications and turnaround expectations for your workflow, and the rationale is documented as part of the program. Where a practice already has a laboratory relationship that meets program requirements, TMS can often coordinate with it.

Testing is performed only by qualified laboratory partners. TMS manages the operational workflow around it.

That workflow includes requisitions, collection supplies, specimen transport, chain-of-custody documentation and results reporting — the logistics that otherwise fall on clinical staff.

No. TMS does not own, operate or hold an interest in a laboratory, and does not perform testing.

TMS is a management, technology and consulting partner. Independence from testing is a deliberate part of the model.

Working With TMS

Getting started: rollout, training, timelines and multi-site programs.

Implementation starts with an assessment of your current workflow, then moves through program design, technology setup, laboratory coordination, staff training and a defined review cadence.

TMS provides a timeline after the assessment rather than a generic estimate beforehand, because scope, number of locations and integration requirements drive the schedule.

Implementation is designed around the workflow you already have, and changes are introduced with training and, where useful, a limited pilot before full rollout.

The objective is fewer manual steps for staff, not a new parallel process to maintain.

Yes. Multi-site programs use one written standard, shared documentation templates and consistent training so process does not diverge between locations.

Location-level reporting shows where practice differs from the standard so it can be corrected early.

Complete the online business inquiry or call 800-599-6193. A TMS specialist reviews your practice, specialty, current workflow and goals before discussing relevant options.

There is no obligation — the consultation is intended to evaluate your practice's needs. Bring a general picture of your patient population, current process and systems in use. No patient information is needed.

Privacy

Patient information and website data handling.

No. Never submit protected health information through website forms.

Website forms are for practice-level inquiries only. Patient information belongs in appropriate clinical systems and secure channels established during implementation.

TMS uses secure website practices and only collects the information necessary to respond to your inquiry.

Refer to the Privacy Policy for complete details on what is collected, how it is used and how to request changes.

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