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.

101K

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
340B 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 $15,976; a PAAS member’s average reduction is $14,218 (89%) – money saved.
Enough saved from one audit to pay your PAAS membership for the next 30 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

Why Do You Need a HIPAA Risk Analysis? Ask Change Healthcare…

May 4, 2024/by Sara Hathaway, PharmD

2023 Health and Human Services Language Access Plan Released: New Plan, Same Goal

May 2, 2024/by Meredith Thiede, PharmD

New COVID-19 Booster Dose & The Final Frontier of the PREP Act

April 30, 2024/by Meredith Thiede, PharmD

Documentation is Essential for Prescription Quantity Changes

April 26, 2024/by Jennifer Ottman, CPhT

Required: Proof of Patient Copay Collection

April 24, 2024/by Jenevra Azzopardi, CPhT

2024 DMEPOS Series #2: Nebulizer Solutions

April 22, 2024/by Jenevra Azzopardi, CPhT

Why Do You Need a HIPAA Risk Analysis? Ask Change Healthcare…

2023 Health and Human Services Language Access Plan Released: New Plan, Same Goal

New COVID-19 Booster Dose & The Final Frontier of the PREP Act

Documentation is Essential for Prescription Quantity Changes

Required: Proof of Patient Copay Collection

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.

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