Pharmacy operations, compliance, and drug diversion are critical areas that require specialized expertise.

Pharmacies face significant compliance obligations under the Controlled Substances Act (CSA) and Drug Supply Chain Security Act (DSCSA). This includes requirements around documentation, drug ordering, inventory management, dispensing, diversion prevention, and more.

Failure to maintain compliance can lead to steep penalties from federal law enforcement.

Effective drug diversion prevention programs require a comprehensive approach focused on compliance, prevention, monitoring, and detection. Compliance creates the foundation for all prevention and monitoring activities. Prevention involves physical barriers and policies to limit access to controlled substances. Monitoring includes both physical observation of high-risk workflows and analytical audits to detect anomalies.

Detection is the ultimate goal, identifying any actual theft or diversion of medications.

We offer specialized expertise to help pharmacies address compliance, diversion prevention, and other operational challenges. Services include DEA registration compliance, electronic prescription compliance, diversion prevention strategies, and more.

Streamlining prescription processing workflows to minimize errors and expedite revenue realization.

Promoting patient education and engagement around medication adherence and financial responsibilities.

Leveraging revenue cycle management software and services to bring clarity and transparency to third-party claims submission, reconciliation, and auditing.

Utilizing data analytics and reporting to gain visibility into the revenue cycle, track key metrics and identify opportunities for improvement.

Outsourcing certain revenue cycle functions like claims chasing and audit management to dedicated experts.

Investing in digital transformation and centralized data repositories to enable more accurate demand forecasting, pricing, and regulatory compliance reporting amid challenges like inflation and supply chain disruptions.

Provide specialized expertise to support comprehensive payor contract review, negotiation, and ongoing management.

Help pharmacies navigate the complexities, identify optimization opportunities, and implement the right systems and processes.

Improve drug cost containment and inventory management.

Increase operational efficiencies and decrease drug waste.

Leverage data analytics and insights to make effective purchasing decisions.

Ensure compliance with regulations like the Drug Supply Chain Security Act (DSCSA).

Contract review and negotiation.

Shortage mitigation.

Specialized distribution and delivery capabilities.

Comprehensive billing and claims management.

Clinical services like adherence programs and patient monitoring.

Robust data reporting and analytics.

Establish HUB relationships and leverage existing payer agreements.

Pursue exclusive or preferred payer contracts.

Achieve specialty pharmacy accreditations.

Expand into limited distribution drugs.

Selecting the right pharmacy management system and software.

Optimizing hardware, networking, and telecommunications.

Leveraging data analytics and reporting.

Ensuring compliance with regulations like HIPAA and DSCSA.

Evaluating and integrating new technologies.

Provide current state assessment of your organization-controlled substance practice in all settings where CS are transacted. This is expandable to other non-controlled substances drugs that you identify as a diversion potential risk.

Provide additional external expert double-check on your current approved policies & Procedures and action plans related to CS and Drug diversion expected controls, practice & findings mitigation plans.

Provide a forensic DEA like Mock audit to prepare your organization for such audits.

Provide support related to your Controlled substance diversion prevention program.