How to Survive Pharmacy Audits in the New Age of Health Care Reform

Tuesday, October 16, 2012, 2:45 p.m. - 4:15 p.m.
San Diego Convention Center
Location: Convention Center, Room 2, Level 2
Continuing Education Credits: 0.15 (1.5 Contact Hours)
ACPE #: 207-000-12-243-L04-P
ACPE #: 207-000-12-243-L04-T

Make no mistake—the intensity and frequency of audits will continue. In the name of fraud, waste and abuse detection and prevention, auditors are redefining overpayments and fully intend to take back money on previously paid prescription claims. How can Independent Pharmacies weather this storm and survive additional scrutiny and regulation? With the Federal Trade Commission (FTC) acceptance of the Express Scripts/Medco merger, NADAC price surveys and continued downward pressure on pharmacy reimbursement, independent pharmacies need a continuous stream of information in order to survive. This session will focus on how to immediately reduce and even eliminate the burden and toll that pharmacy audits take on your pharmacy.

Pharmacist Learning Objectives:

  1. Describe the effects of Health Care Reform and The Affordable Care Act's impact on the practice of pharmacy.
  2. Discuss State and Federal audit legislation and how to improve audits by increasing the focus on people committing fraud rather than clerical errors or omissions that do not result in claims overpayment.
  3. Evaluate documentation considerations and how to audit proof your prescription claims.
  4. Review proactive measures pharmacies can take to lessen the likelihood of pharmacy audits.

Technician Learning Objectives:

  1. Describe the effects of Health Care Reform and The Affordable Care Act's impact on the practice of pharmacy.
  2. Discuss State and Federal audit legislation and how to improve audits by increasing the focus on people committing fraud rather than clerical errors or omissions that do not result in claims overpayment.
  3. Evaluate documentation considerations and how to audit proof your prescription claims.
  4. Review proactive measures pharmacies can take to lessen the likelihood of pharmacy audits.

Speaker: Mark Jacobs, RPh, Director of PAAS Services, PAAS National, Stoughton, Wisconsin

Categories:
Activity Type: Knowledge-based
Audience: Pharmacists and Pharmacy Technicians

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