PAAS Pit Stop: The Member Portal
The PAAS Member Portal is a wealth of information and resources, whether you are part of the Audit Assistance and/or Fraud, Waste, & Abuse and HIPAA Compliance Program.
Entries by Meredith Thiede, PharmD
Alleged Inattentiveness to Details Costs Pharmacy $70,000
The DEA was established as a federal agency to regulate drug laws and to prevent misuse and/or diversion of both controlled substance and non-controlled medications.
MATE Training for Buprenorphine Prescribers
Medication Access and Training Expansion (MATE) Act, requires all new or renewing DEA registrants to have met at least one of the following requirements when submitting their DEA registration application.
HHS Reports Successes in Access to Meaningful Language Assistance Services
For the first time since 2016, Health and Human Services (HHS) released a report detailing the progress made in improving “meaningful access to language assistance services” for individuals who are considered to have limited English proficiency (LEP).
Carry Clinical Notes Forward for Audit Coverage
Seasoned pharmacy staff can often list off the patients who prefer brand drug or whose insurance requires the brand name for certain medications.
Medication Error Reporting Through PAAS’ FWA/HIPAA Compliance Program
The importance of having an internal process to record and monitor medication errors cannot be overstated.
Resist the Urge: Don’t Reverse Claims After Receiving an Audit
Consider the following situation: after pulling hard copy prescriptions for an audit, a billing error is identified; such as an incorrect days’ supply or billed quantity. The initial thought may be to reverse and rebill the claim.
Black Market HIV Medications Are Not Worth the Savings!
According to a statement released by the U.S Attorney’s Office in the Southern District of New York, five individuals were arrested the morning of March 2, 2023 as a result of defrauding government insurance plans, including Medicaid and manipulating low-income individuals out of their HIV medications from July 2020 through February 2023.
Nuedexta® National Audit: A Tale of Medically Accepted Indications
PAAS National® stresses the importance of medications being prescribed for a medically accepted indication (MAI), particularly for Medicare, Medicaid and Tricare, as this carries an audit risk that is difficult to overturn on appeal.
Not-So-GoodRx Reprimanded $1.5 million for Sharing Consumers’ Information
The article GoodRx Shares Consumer Data appeared in the April 2020 Newsline, which pertained to GoodRx sharing their consumers’ data with various platforms, including Facebook and Google.
