Self-Audit Series #8: Compound Prescriptions
Compound prescriptions may not be a frequent occurrence for some pharmacies; however, those that do bill compounds must be aware of the audit risks.
Entries by Dana Westberg, CPhT
Medicare and Vaccine Billing: What You Need to Know
Pharmacies need to be aware of the risks of billing claims [to Medicare B/D] for patients under a Medicare Part A stay.
Quantity Written vs Quantity Dispensed – Are You Covered?
PAAS National® analysts continue to see audit results flagging “unauthorized refills” or “excessive quantity billed”.
2024 Self-Audit Series #7: Migraine Medications
In recent years, there has been a notable increase in the number of medications prescribed for migraine prevention and treatment. This increase leads to additional audit risks.
The Need for Clarification on Prescription Labels
Pharmacy staff frequently receive prescriptions from prescribers that lack (or are missing) complete quantities or instructions for use. Clarifying these details before dispensing can help prevent audit discrepancies.
2024 Self-Audit Series #6: Return to Stock
PAAS National® analysts continue to see pharmacies face recoupment on audits due to return to stock violations.
Ensuring Audit Readiness: What PBMs Look for in Signature Logs and Proof of Delivery
One of the most common questions PAAS National® receives from our members is: what are the requirements for audits when signature logs are requested.
2024 Self-Audit Series #5: Topical Prescriptions
Topical medications are easy audit targets, especially with the rising costs of some of these medications.
2024 Self-Audit Series #4: Transferred Prescriptions
Making sure your transferred prescriptions are complete can be one of the easiest audit recoupments to prevent.
Pharmacy Owner’s Involvement in Fraud Scheme Leads to 4-Year Prison Sentence
The Department of Justice recently announced the sentencing for a New York pharmacy owner. A four-year prison term, three years extended supervision, and paying back restitution of more than $6 million dollars, is the outcome for this owner based on his involvement in a Medicare and Medicaid fraud scheme.
