News By Tag
News By Location
Follow on Google News
Pro Pharma Announces New Compliance Audits for Pharmacy Programs
Announcing Our State-Specific Compliance Audits for Pharmacy Programs to Ensure Consistency with State Rules and Regulations
By: Pro Pharma
According to Dr. Craig Stern, President, "These state-specific Compliance Audits reference all applicable state regulatory criteria to prepare Pharmacy Programs. Codes are evaluated with specific emphasis on all parts of the code, which allows for a review of policies and implemented procedures that comply with the state codes and indicating implementation"
Pro Pharma Takes the Following Steps to Address Gaps in Compliance:
-- Review each code and request Policy and Procedure documentation
-- If needed, Pro Pharma assists the PBM with appropriate language consistent to meet state-specific codes
-- Request letters and implementation documents to demonstrate actions consistent with State Compliance Rules & Regulations
-- If required documentation or letters are not available, Pro Pharma provides language and assists the PBM with the required implementation documentation
According to Carol Stern, CEO, "This program specifically provides any unresolved issues to the Plan for discussion and further actions. The primary objective of this methodology is to avoid corrective action plans by providing language and sample documents that are consistent with state-specific rules & regulations"
Call and/or email now to schedule your Live Demo and One-on-One Free 15-Minute Consultation to begin developing your Organization's Call to Action!
To learn more about our Compliance Audits, visit: http://www.propharmaconsultants.com/
About PRO PHARMA
PRO PHARMA is a multi-service, woman owned, privately held consulting firm offering a vast portfolio of services to public and private entities including self-insured employers, Taft Hartley Trusts and unions, public employers, for-profit hospitals and integrated health networks, health care insurance companies, worker's compensation insurers, small-to-medium sized HMO's, and physician groups.
As a primary service to plan sponsors for achieving below trend results, PRO PHARMA provides an integrated program of administrative process improvements, clinical quality oversight, and provider/member education.
PRO PHARMA's Consulting services are grounded in the use of data and the communication of that information to define benefit trends, drivers and other analytical indicators. PRO PHARMA markets Biotech Modeling™, Invoice Screening™, Quality Management Program™, and Treatment Calendar™. The Company directly markets its products in the U.S. and collaborates with partners to reach international markets.
For more information about PRO PHARMA, please visit http://www.propharmaconsultants.com.
Carol Stern, (888)701-5438