We have all been through audits before. What if you had some inside knowledge about how to prepare effectively, know what the auditors are looking for and even have a checklist to make sure you are prepared for that desk audit or onsite audit?
You need a team on your side who have the experience and knowledge to explain to you how to be prepared and the most common pitfalls. Enter the Pharmacy Compliance Consulting team of Chris Gruber and Mark Newkirk. As pharmacists and former PBM auditors they are putting their experience to work for you.
As one PDS member put it, “Every PDS member would benefit from this course and I will attend every year or two to brush up.” – Jim Cherry, PDS Member
It is critical in today’s environment that every pharmacy owner take the first step in audit preparation and readiness by attending this course.
Billing a claim to an insurance is pretty easy work. With a few pushes of some buttons you can send a claim and get a response in a matter of seconds. If that is your staff’s understanding of the billing process, you and your pharmacy are at risk. Billing is so much more complicated than inputting the information onto a screen.
Educate yourself and your staff on the rules in each contract to be better prepared for when you receive an audit. Give your team the confidence that they are billing correctly every day leaving you empowered that you can handle your next audit.
Invest in yourself and invest in your team. Pharmacy owners, billing managers and other key employees will benefit immensely from the ABCs of PBM Billing.
Understanding the entire PBM manual is next to impossible. CVS’s latest manual is 345 pages long while Express Scripts is 121 pages and OptumRx’s is 160 pages. Therefore, this jam-packed day and a half will take a deep dive of CVS, ESI, OptumRx and Prime Therapeutics contractual and manual language of the key sections that mean the most to your pharmacy.
Once you understand the key points of your PBM manuals you will be able to go back to your pharmacy, develop a process for your team to be consistently compliant.