Audit Action

A complete solution for pharmacies that want to improve audit success rates, drive revenue, and remain compliant with Medicare Part B DME billing requirements.

Drive Value for Your Pharmacy

Remain compliant with Medicare Part B/DME billing requirements. Our audit intelligence solution encourages adherence to Medicare standards.

Improve audit success rates. Claims are managed through the appeal process until final determination is received.

Choose the mix of solutions that best meets your needs to improve audit success rates. Trained audit specialists manage the entire process.

Enjoy convenient storage of your completed documentation on the Change Healthcare customer website.

Drive revenue for your pharmacy. Our solution has a 96% success rate of obtaining physician records and completed documentation.

Get additional value with strategic outreach programs designed to drive added revenue while improving adherence.

Improve Audit Success Rates & Compliance

MedRx platform

  • Delivers a complete offering designed to achieve compliance with Medicare Part B/DME requirements using our best-in-class MedRx platform. Audit intelligence solution encourages adherence to Medicare standards.
  • Outsources labor-intensive physician outreach. Specialists manage the entire audit process including obtaining documentation from pharmacy and corporate staff, and contacting physicians for medical records.
  • Manages the claim through the appeal process until final determination is received. After our specialists reach out to physicians, responses are then sent back to the appropriate audit contractor.

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Additional Resources

VIDEO
Medicare Audit & Documentation Compliance

Pharmacists and pharmacy staff: learn how to be better prepared for an audit while earning Medicare Audit Compliance continuing education credit (CEC).

Get Certified

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