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A comprehensive In Store Audit Program conducted by PharmDUR, Inc. would provide a
valuable tool to a company marketing team in the following ways:
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An Independent Arms Length audit of the complete Network would create a Sentinel effect.
The Independent Audit Program can be marketed as a Quality Control Product.
Hard Dollar recoveries are returned to the Client.
The audits conducted could be used as a store specific assessment tool.
Identified Potential Fraud and Abuse by Providers and/or Recipients could be benchmarked and used for marketing.
A value added feature of all Pharm/DUR Audit Programs is the identification of cracks in the adjudication platform and the resultant seamless integration of program changes.
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Pharm/DUR currently utilizes the services of fifty-two auditors in our
various regions of business. We also employ three additional full-time
staff that is available to audit should any unforeseen issues arise such
as illnesses or conflict of interest with a particular auditor.
Pharm/DUR employs the services of thirty Registered Pharmacists as auditors,
while the other twenty-two are Certified Pharmacy Technicians (CPT) with a
minimum of three years retail experience.
We require:
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Registered Pharmacist with a minimum of 2 years retail pharmacy experience or
Certified Pharmacy Technician with a minimum of 3 years retail experience or
Registered Pharmacist 3 years Long Term Care Experience or
Certified Pharmacy Technician with 4 years Long Term Care Experience
All licenses and certificates must be in good standing and current
All auditors must have reasonable computer skills and comfort with ever changing technology
All auditors must have a professional appearance and be non-confrontational at all times
All auditors must have exceptional presentation and communication skills
Auditors who live in geographical areas where the audits are to be conducted are preferred.
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The number of auditable pharmacies is dependent upon a number of factors:
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Claims Data and Look Back Period
Plan Rules and Regulations
Interpretation of State and Plan standards of Pharmacy Practice
Audit Discrepancy Guidelines
Purpose and Focus of the Audits
AudiTrack Identification
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Many of our clients prefer that we audit all pharmacies with a claims
volume over a predetermined number. Experience has shown this process creates a Sentinel effect on the Network.
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