Audit Assistance

8000

COMMUNITY PHARMACY OWNERS

Gain peace of mind with PAAS services

93%

AVERAGE REDUCTION IN AUDIT RECOUPMENTS

PAAS is here to help and we’re good at what we do.

115K

AUDITS ANALYZED

PAAS works to educate you on audit trends and tactics – before anyone else.

MORE AUDITS, MORE INSIGHT – PAAS National^® is the industry-leading defender of community pharmacy dealings with Prescription Benefit Programs.

The average PBM audit recoupment in 2025 was $26,144; a PAAS member’s average reduction is $24,314 (93%) – money saved. Enough saved from one audit to pay your PAAS membership for the next 44 years.

The PAAS team is dedicated to helping you! We have five pharmacists and a complement of technician analysts with over 50 years of dedicated audit assistance experience. PAAS continuously updates their database with every audit received — in fact, we even keep a scorecard on individual auditors.

You must BE PREPARED to stop the threat

Imagine the peace of mind you’d experience if you were proactive and prepared.

Know exactly what to do before, during and after an audit. Be protected and join PAAS.

When you receive an audit, contact PAAS first.

What you get when you join PAAS Audit Assistance:

Unlimited Expert Audit Assistance

One-on-one dedicated audit support
Pre- and post-audit defense consulting
Unpublished appeal strategies
Assist on all third-party audits, including:

Rx Validation Requests

Desktop Audits

Onsite Audits

Invoice Audits

OIG/Medicaid Audits

Medicare B Audits

Proactive Tips and Prevention

Monthly newsletter with new audit tactics and prevention strategies
Guidance on filling and billing
Get answers to your questions on days’ supply calculations, drug substitutions, billing practices, required documentation, prior authorization requirements, record retention, and internal audit procedures – just to name a few. As a trusted partner, we will provide tailored guidance to help you proactively prevent audits. Remember, the prescription claims you submit today are the audits of the future.

Valuable Resources

Onsite credentialing resource
On-demand webinars
Days’ Supply Charts

How to Avoid the Vaginal Cream Recoupment Domino Effect

Preventing Substitution Errors Among Interchangeable Denosumab Biosimilars

Improving Accuracy and Efficiency: Rx Days’ Supply Calculator Adoption Grows

Isotretinoin Therapeutic Equivalence and iPLEDGE® REMS Documentation Alert

Creon Claims at Risk: OptumRx Audit Recoupments Continue

Virginia Pharmacy reported 23 audits to PAAS in 2020 and $0 recoupments

They trust PAAS National^® to provide them guidance on their audits time and time again. Not only do they use PAAS one-on-one audit assistance, their staff also utilize us for filling and billing guidance. PAAS works to educate you on audit trends and tactics – before anyone else!

“The last two desk audits I have had from Prime Therapeutics have been a $0 recoupment. Thanks to PAAS they have been a GIANT help preparing the paperwork! The FWAC makes my job so much easier to stay compliant too. Thank you so much PAAS National^®. In this crazy world of independent pharmacy you make my job a little easier!”

Congrats to an Illinois Pharmacy that just saved $71,738!

PAAS National^® recently helped a community pharmacy in Illinois keep their hard-earned money in their pocket. Working with this pharmacy on the audit from the very beginning, and through appeals, we were able to get the recoupment down to $0.

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