Rx Audit Shield is dedicated to helping community pharmacies navigate audits, compliance requirements, and the challenges that come with today’s pharmacy environment. Our team provides practical audit guidance, helpful resources, and ongoing support to help you understand requirements, respond to concerns, and protect your pharmacy. From preparing for an audit to addressing audit findings, Rx Audit Shield is here to help you make informed decisions and move forward with confidence.
AUDITS ANALYZED
Rx Audit Shield helps identify audit patterns, common PBM tactics, and potential areas of risk so your pharmacy can prepare before an audit becomes a problem.
AVERAGE REDUCTION IN AUDIT RECOUPMENTS
Our audit-focused approach helps pharmacies understand findings, respond effectively, and challenge questionable claims before unnecessary dollars are lost.
SAVED IN AUDIT RECOUPMENTS
Rx Audit Shield gives pharmacies the knowledge, resources, and support they need to better understand audit requirements and protect their financial interests.
Rx Audit Shield is dedicated to helping pharmacies navigate the challenges of PBM audits and compliance. From the initial audit notice through the final response, we provide practical guidance and resources designed to help you stay prepared, protect your revenue, and keep your pharmacy moving forward.
Unit-of-measure details can play an important role in pharmacy billing, dispensing records, and PBM audits. When the quantity billed does not align with the medication, package configuration, prescription directions, or
Ostomy supplies are an important category within DMEPOS billing and can require careful attention to documentation, product information, quantities, and payer requirements. For pharmacies and healthcare providers, accurate records and
A pharmacy audit is a review of prescription claims, dispensing records, documentation, and other information to determine whether submitted claims and pharmacy practices meet applicable requirements. Audits may be conducted
We value the relationships that help strengthen pharmacy advocacy, education, and support. Our partners play an important role in helping pharmacies stay informed, prepared, and connected.
Rx Audit Shield provides pharmacy-focused audit assistance, compliance resources, and practical tools designed to help pharmacies prepare for audits, manage documentation, and better understand compliance requirements.
Rx Audit Shield can help pharmacies understand audit requests, review documentation, identify potential areas of concern, and prepare organized responses. The goal is to help your pharmacy approach the audit process with better preparation and clarity.
Rx Audit Shield offers resources covering areas such as audit assistance, FWA and HIPAA compliance, USP 800 guidance, cultural competency training, license and record tracking, and days’ supply calculations.
Accurate and organized documentation helps support prescription claims, demonstrate compliance with applicable requirements, and make it easier to locate information when an audit or documentation request occurs.
