Beware of the New Problem with the Updated Online Santyl® Calculator
Santyl® ointment 250 units/gram is a topical medication indicated for debriding chronic dermal ulcers and severely burned areas.
Entries by Sara Hathaway, PharmD
Yes, LTC Delivery Manifests ARE Needed!
PAAS National® analysts often see LTC pharmacies struggle with providing sufficient documentation to satisfy proof of dispensing for an audit.
Three Common Pitfalls to Avoid When Billing Oral Inhalers
Oral inhalers remain a high audit risk for all PBMs and being able to identify billing pitfalls may mean the difference between a claim safe from recoupment and one lost due to an improper DAW code, early refill, or overbilled quantity.
Are You Utilizing DAW Codes Correctly? Updated Tool Available!
Though the definitions were revised to include biologic drug products, the guidance holds true for all legend drugs. Now is the time to refamiliarize yourself with the best-practices for using DAW codes and to review DAW code audit pitfalls most seen by PAAS National® analysts.
NCPDP Updates DAW Code Definitions to Encompass Interchangeable Biosimilars
While this chart is useful, you may be asking yourself – What does this all mean?! Let us go through several examples.
Be Prepared for Audits on Pharmacist-Prescribed Paxlovid
As pharmacies across the country are gaining access to this anti-viral COVID-19 therapeutic agent, it is important to understand the specifications of the EUA…
DMEPOS Targeted Probe and Educate Program – Process Improvement Plan
There has been a sharp increase in the number of Targeted Probe and Educate Program audits on diabetic testing supplies.
New Tools Available! Biologic and Non-Biologic Injectable Medication Reference Charts
Ever wonder if you were billing the correct NDC for a Humira® prescription and had to spend precious time investigating? Or how about questioning if you were billing the correct package size for Gvoke® and had to consult multiple references just to try and figure out the answer?
Beyond-Use Date vs. Nursing Home Storage Policy – Avoid this Recoupment Trap!
Manufacturers go through rigorous testing to bring their products to market and part of the tedious approval process includes stability, sterility, and beyond-use date (BUD) testing.
