Increased Medicare audits are raising the stakes for compliance in today’s pharmacies, with stricter enforcement than ever before. In fact, the likelihood of receiving a Part B audit request continues to climb amid national efforts to control fraud, waste and abuse.
As patients look for ways to obtain healthcare in more convenient and lower-cost settings, new opportunities are emerging for retail pharmacies to help meet patient needs. Many pharmacies already are recognized as cost-efficient channels for expanding public access to vaccinations, disease management, medication management, and other clinical services.
Change Healthcare’s VP clinical network Lathe Bigler discusses some of the innovations that have improved workflow and communication between pharmacists and prescribers as e-prescribing becomes the standard.
Industry groups are increasingly recognizing the role of effective medication management in achieving clinical benefits and improved costs — particularly medication adherence and the rising cost of generic and brand name drugs.
"The United States is in the midst of a prescription drug abuse epidemic as addiction, overdoses and deaths associated with non-medical drug use have risen dramatically over the last decade. In 2009, U.S. drug overdose deaths outnumbered motor vehicle accident deaths for the first time," writes Wendy Cloe, a director at Emdeon, in her latest blog.
"The diabetic is a critically important patient for pharmacies to serve. Yet, with increased Medicare audits, stringent compliance requirements and reduced reimbursements, is servicing these patients really worth it?" writes Kevin Dore, a director at Emdeon, in his latest blog.
"I remember the first time I worked in a pharmacy like it was yesterday. Not only was it fast paced and exhilarating, the work was also meaningful and beneficial to the community. I can hardly believe it’s been close to 20 years since I began behind the counter," writes Jonathon Kopf, pharmacy product manager for Emdeon, in his latest blog post.