Pharmacy Audit

Medicare, Medicaid, and pharmacy benefit manager (PBM) audits can result in substantial losses for pharmacies. If auditors uncover evidence—or apparent evidence—of overpayments, not only can they initiate recoupments, but they can potentially deny pending claims, impose pre-payment review of future claims, and impose other financial penalties as well.

By: pharmacyaudit245

02-Nov-2024 07:33 am

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OCC Enforcement

Dr. Nick Oberheiden is an anti-money laundering lawyer at the national corporate compliance law firm Oberheiden P.C. Here, he summarizes what he think...

By: occenforcement24

02-Nov-2024 07:20 am

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