Pharmacy Advisory

Accurate, complete, and auditable records are essential for providers to maintain compliance and identify the program’s key risks. Forvis Mazars performs independent external 340B assessments for covered entities throughout the country. Our process can help you evaluate multiple aspects of 340B, identify additional opportunities and risks, and create precise and compliant audit trails. These procedures are designed as a mock audit that simulates a Health Resources & Services Administration (HRSA) audit. Forvis Mazars frequently assists clients with their HRSA audit needs if selected for a HRSA audit.

Forvis Mazars’ 340B team has the expertise to provide operational knowledge and recommendations that can help covered entities increase savings and maintain compliance. Our team has experience with most split-billing vendors, wholesalers, retail pharmacies, and billing systems, and we understand the complexities of building and maintaining a 340B program.

Clients request our help with many different aspects of their program, including—but not limited to—registration assistance, policy and procedure development, child site evaluation, expansion of contract pharmacy arrangements to increase savings, and split-billing software implementation assistance and operational improvements.

Whether your organization needs short-term assistance on key projects or in-depth support, Forvis Mazars can assist you with finding ways to support bandwidth constraints in your 340B program. The Forvis Mazars team has significant experience assisting organizations by providing services to expand your team to help meet 340B organizational goals.

Forvis Mazars understands that hospitals continually seek opportunities to explore programs available to help increase revenue and expand 340B savings while maintaining compliance with federal and state regulations for conversion of free-standing physician offices to outpatient departments of the hospital. We can help hospitals with their provider-based billing strategy and provide assistance to help meet CMS requirements and operationalize their provider-based clinics.

Expansion of pharmacy services is critical for an organization to increase its financial sustainability. Expansion of pharmacy services requires the need to maintain compliance with federal and state regulations. Forvis Mazars can assist organizations with identifying opportunities for expansion and exploring the risks and benefits associated with expansion. Estimating cost and revenue while meeting regulatory requirements is critical.

Pharmacy charge structure and integrity are more critical than ever in the accelerated health care environment as transparency continues to be of the utmost focus. Up-to-date crosswalks, formularies, and modifiers are critical to help improve reimbursement and maintain compliance.

The opioid epidemic has been an uphill battle for healthcare providers, which must have access to information to understand the risks associated with all aspects of treating patients with opioids and assisting those with opioid dependency and overuse. Forvis Mazars can assess prescribing trends, benchmarking, and future state goals. The assessment provides an in-depth picture of prescribing patterns across hospital department, provider specialty, provider, and patient type to help monitor performance and create a road map toward improvement.

The healthcare industry is flooded with data. However, data without context is neither valuable nor actionable.

Forvis Mazars believes valuable data should be able to help you execute strategies and drive meaningful change. Our team strives to provide clients with the right information at the right time. We leverage our experience in data analysis to create powerful, technologically advanced data visualization products, models, and dashboards that can quickly and intuitively help users understand and analyze complex data sets.

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