Audit Assistance

5500

COMMUNITY PHARMACY OWNERS

Gain peace of mind with PAAS services

89%

AVERAGE REDUCTION IN AUDIT RECOUPMENTS

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

106K

AUDITS ANALYZED

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

Assisting on nearly 10,000 audits a year!

Desktop Audits

Onsite Audits

Virtual Audits

Invoice Audits

OIG/Medicaid Audits

Medicare B Audits

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.

The average PBM audit recoupment is $25,350; a PAAS member’s average reduction is $22,561 (89%) – money saved.
Enough saved from one audit to pay your PAAS membership for the next 41 years.

What you get when you join PAAS Audit Assistance:

One-on-one support from a PAAS Analyst
Pre-Audit consulting preparation
Post-Audit defense consulting
Guidance on filling and billing prescriptions
Credentialing assistance
PBM supervisor contact information (inside information)
Monthly Newsletter with new audit tactics and prevention tips

Tools & Aids

On-Site Credentialing Guidelines
Patient Affidavits
Signature Logbooks/Postcards
On-demand webinars
Proactive Tips, and much more!

Days’ Supply Charts

Insulin
Diabetic Injectable Medications
Eye Drops
Topicals
Inhalers

Contract Reviews

Identify perils and pitfalls
Addendums, amendments
Contract language
Reimbursement calculations
DIR accrual estimates

Nondiscrimination in Health Programs and Activities – Cultural Competency Training is a Must!

August 20, 2024/by Meredith Thiede, PharmD

2024 National Health Care Fraud Takedown

August 18, 2024/by Eric Hartkopf, PharmD

The Need for Clarification on Prescription Labels

August 16, 2024/by Dana Westberg, CPhT

Are PBM Regulations Being Enforced by Your State? Let Your Voice Be Heard!

PBM Audits on Ozempic®: 5 Common Discrepancies Revealed

Audit Risk: Prescriber Scope of Practice and Treating Self or Family

Nondiscrimination in Health Programs and Activities – Cultural Competency Training is a Must!

2024 National Health Care Fraud Takedown

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.