Multi-Language Insert Must Be Provided to Medicare Beneficiaries as of January 1, 2023
After reading this article you should understand what a multi-language insert is, why it must be provided, and when you are required to hand it out.
Entries by Sara Hathaway, PharmD
Criminal HIPAA Charges Filed Against Compounding Pharmacy Sales Rep
Criminal HIPAA charges are not handed down frequently, but when an individual “knowingly” and inappropriately obtains and discloses a patient’s protected health information (PHI), they could face up to $50,000 in fines and up to one year in prison.
Beware of the New Problem with the Updated Online Santyl® Calculator
Santyl® ointment 250 units/gram is a topical medication indicated for debriding chronic dermal ulcers and severely burned areas.
Yes, LTC Delivery Manifests ARE Needed!
PAAS National® analysts often see LTC pharmacies struggle with providing sufficient documentation to satisfy proof of dispensing for an audit.
Three Common Pitfalls to Avoid When Billing Oral Inhalers
Oral inhalers remain a high audit risk for all PBMs and being able to identify billing pitfalls may mean the difference between a claim safe from recoupment and one lost due to an improper DAW code, early refill, or overbilled quantity.
Are You Utilizing DAW Codes Correctly? Updated Tool Available!
Though the definitions were revised to include biologic drug products, the guidance holds true for all legend drugs. Now is the time to refamiliarize yourself with the best-practices for using DAW codes and to review DAW code audit pitfalls most seen by PAAS National® analysts.
NCPDP Updates DAW Code Definitions to Encompass Interchangeable Biosimilars
While this chart is useful, you may be asking yourself – What does this all mean?! Let us go through several examples.
Be Prepared for Audits on Pharmacist-Prescribed Paxlovid
As pharmacies across the country are gaining access to this anti-viral COVID-19 therapeutic agent, it is important to understand the specifications of the EUA…
DMEPOS Targeted Probe and Educate Program – Process Improvement Plan
There has been a sharp increase in the number of Targeted Probe and Educate Program audits on diabetic testing supplies.
