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Easily the most comprehensive system if it’s kind, AUDITRACK©
aggressively tracks down waste in your prescription program. AUDITRACK© is designed to look at the entire prescription program,
from prescriber, to pharmacy, to patient. The result:
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COST MANAGEMENT
GREATER PROVIDER ACCOUNTABILITY
IMPROVED PATIENT CARE
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The AudiTrack© system does not process claims.
Rather it takes the claim data produced by your Claims
Processor or PBM and converts it into useable information.
The AudiTrack© system focuses on the discovery of recoverable
pharmacy claims and provides clinical and financial decision support
based on detailed pharmacy claims examination.
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The AudiTrack© system provides the flexibility to run customized applications
in-house and provide our clients timely reporting and consulting services on a routine basis.
We treat each client uniquely, based upon the level of technical, clinical, and systems expertise
available. Our solutions are specific to your requirements and evolve with your changing needs.
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The application easily integrates with other typical desktop software suites such as MS Office applications.
In addition, the GUI tool has been developed to provide distributed access over the Internet while offering
security at the highest level to protect both information confidentiality and data integrity. Clients have the ability to access standard query functions and audit
results immediately upon review by our internal staff. The Internet interface also provides for a file sharing
application that will automate the import of new claims from our clients, easily manage audit files with our field
staff and document management on a scheduled basis.
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The AudiTrack© system checks adherence to Plan Parameters, Formulary Compliance,
Reimbursement and many other areas for investigation. Using this broad based approach,
we are able to look at the total prescription program rather than individual pieces.
Pharmacy claims auditing, at the administrator level or the provider level, provides
an excellent tool for analysis, program education, identification and recovery of misspent
funds. A comprehensive Pharmacy Audit Program will also create a sentinel effect, estimated
at 1% of pharmacy spend, on the provider network
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The intuitive application provides multiple views of claims data,
calculations for data normalization and statistical analysis that
can be used to target issues, interventions and potential areas for
savings. Using the AudiTrack© system quickly and efficiently
develops audit recovery opportunity and utilization review in areas such as:
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Patient Utilization Trends
Average Prescription Utilization
Average Prescription Cost
Average per Patient Cost
Identifying Disease Management Opportunities
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Physician Trends
Formulary Compliance
Percent DEA, DAW
Brand vs. Generics
Quality Indicators
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Pharmacy Trends
Targeting Network Issues
Percent DEA, DAW
Brand vs. Generics
Billing Patterns for Fraud and Abuse
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The unique reporting functionality will allow drill down
directly in the application and allow the user to view
and analyze several levels of data – from top level
summary to full claim detail.
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