Q: Where did you grow up?
Clifton Park, New York, a small suburb upstate, between Albany and Saratoga Springs, NY.
Q: Where did you go to college?
…Category: Sponsored Content
Q: Where did you grow up?
I was born, raised and still reside in Glassboro NJ. It’s about 20 minutes east of Philadelphia in southern New Jersey.
Q:
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TIP: If your entity engages a firm to independently audit your 340B Program, follow through on the auditor’s recommendations in a timely manner.
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Many covered entities are not aware of the opportunity to capture referral prescriptions. This includes ones that were initially determined to be non-eligible by your TPA but after a closer look in your EMR are deemed to be eligible. Don’t miss out on this valuable source of revenue for your 340B program by overlooking referral prescriptions. You may be overpaying inflated fees by outsourcing. However, you can easily learn to capture these prescriptions yourself—before they expire—or another round of manufacturer exclusions is announced. With the recent increase in manufacturer blocks, maximizing your 340B savings wherever possible is more important than ever.
This session will be valuable for both PharmaForce Covered Entities and non-PharmaForce Covered Entities. Join us to learn about the potential of referral prescriptions and how to capture them in-house.
We’ll show you how to use the NEW PharmaForce Referral Claims Manager Platform to:
- Maximize referrals and implement a compliant
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TIP: Don’t forget that in a replenishment model, 340B purchases are primarily made after determining eligibility through accumulated eligibility.
340B PROVIDER LEADER SPOTLIGHT
Fatimah Muhammad, Director, 340B Pharmaceutical Svcs & Drug Replacement, Saint Peter’s University Hospital
Q: If a friend came to visit you in your hometown, where would you take them? Where would you take them in your state?
Hometown: I would take
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Q: Where did you grow up?
Lansing, Michigan
Q: What are your favorites?
Food: Tacos
Movie: National Lampoon’s Christmas Vacation and/or Elf. Both are great movies for family
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TIP: Make sure you are taking time to review your 340B wholesaler invoices at least weekly to ensure you are getting the correct
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Resolving 340B noncompliance can be a time-consuming task for 340B participants — and one of the greatest challenges in managing a 340B program. This guide outlines the five steps to successfully navigate resolving compliance issues requiring repayment to manufacturers, from discovery to resolution, and includes a solution to help streamline the refund process.
Step #1: Discovering 340B Program Noncompliance
Program noncompliance can be detected in four ways: self-audit, HRSA audit, manufacturer good faith inquiries or audits, and through normal day-to-day operations. Compliance issues are most commonly identified through self-audits conducted either by an internal audit department, pharmacy department, or an outside contractor hired by a covered entity.
“A compliance issue such as incorrect 340B accumulation quantities may be caused by systemic failures such as a data feed transmission error. In my experience as a 340B team member, we had analysts dedicated to reviewing specific program areas to monitor our program for noncompliance on an ongoing
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For 340B covered entities (CEs), a Health Resources and Services Administration (HRSA) audit is an inevitability. While you won’t be able to predict when HRSA comes calling, you can bank on sooner or later being one of the 200 CEs HRSA audits every year. That’s why Cloudmed recommends keeping your organization’s policies and procedures aligned with current 340B program guidance and expert interpretations. When the audit comes, you want to be one of the CEs with a clean outcome, not one of those saddled with findings that could jeopardize your program.
A critical component of a compliant 340B program is having your policies and procedures in good order before the audit. They must identify how you ensure key compliance measures are met for the 340B program, including patient definition, care setting, and other factors.
Beyond setting the applicable policies and procedures, you must ensure you
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