Are You Missing Audit Communications?
PAAS National® analysts have recently seen many PBMs and audit contractors send communications, including audit letters, to network pharmacies via email instead of facsimile or postal mail. In most cases, these emails are sent to the address on file via your NCPDP Pharmacy Profile.
Become an audit assistance member today to continue reading this article. As a member, you’ll have access to hundreds of articles and receive our monthly proactive newsletter!
One audit contactor, Conduent Payment Integrity Solutions, sends an email that includes an “acknowledgement” box within the email that pharmacies must click on to confirm receipt of the email. If the email is not acknowledged, then Conduent will send additional communications to confirm receipt.
PAAS Tips:
- Ensure your NCPDP pharmacy profiles are up-to-date, particularly your email address and fax number
- Choose your preferred email address carefully – it should be an email inbox that is attended to frequently (perhaps daily)
- Consider if the email inbox should be accessible to management only or any staff member
- If an audit email is “acknowledged” but not escalated to the appropriate person(s), it could put the pharmacy in a bind unnecessarily
I obtained my PharmD from the University of Wisconsin-Madison School of Pharmacy and worked for a major chain as well as various LTC and independent pharmacies, before coming to PAAS.
I am passionate about learning and teaching. I strive to learn something new about PBM audits every day, so that PAAS can be more knowledgeable to better serve our members! In 2018, I started traveling to state pharmacy conferences to present audit seminars and meet our wonderful members in person.
- Caremark Notice of Breach – Aberrant Practices and Trends - April 20, 2024
- Caremark Invoice Audits – Purchases from Other Pharmacies - April 10, 2024
- Qualified Medicare Beneficiary (QMB) Program - April 2, 2024
