As a pharmacy owner, you’re acutely aware pharmacy benefit managers (PBMs) can audit your pharmacy at any time. But are you prepared for an audit? Are you demonstrating proper pharmacy compliance? Are your processes and operations at the level they should be?
Our RxProtect team comprises Certified Pharmacy Technicians who possess the skills and clinical know-how to ensure your audit runs smoothly. We thoroughly analyze your claims data and study your pharmacy operations at a granular level, leaving nothing to chance. Our mission is protecting your bottom line.
Audit and appeal preparation demands considerable time, which you don’t always have given your commitment to patient care. Our experienced team leads you through the audit process from start to finish. We rigorously check key aspects for compliance with state, federal and PBM requirements. We analyze discrepancy reports, review responses, and instruct you on appeals to prevent audit recovery or termination.
Our preparation process is all-encompassing—we essentially conduct a mock audit of your pharmacy to pinpoint and resolve potential issues before your actual audit takes place. For those pharmacies we have assisted in the audit process, eighty percent have resulted in zero dollars in recovery.
AlignRx provides a variety of tools to you and your staff to ensure network compliance and sound operational procedures.