Third party pharmacy audits: can they be improved?
OBJECTIVE
To discuss issues surrounding the current auditing practices associated with third party insurance prescription claim programs.


METHODS
Audit examples obtained during the last 10 years associated with third party audit methodology.


CONCLUSIONS
Many unattended issues are associated with third party pharmacy audits. Some issues for discussion are presented in an attempt to produce some possible solutions for the audit inequities.


CONCLUSIONS
National professional organizations, insurance companies, and payers need to convene and formulate fair auditing guidelines.
Neubrecht
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Pharmacy Resource Center, Michigan Pharmacists Association, Lansing 48906, USA. mpa@mipharm.com
D005375:Financial Audit / Q000592:standards*; D005607:Fraud / Q000191:economics; D007356:Insurance, Pharmaceutical Services / Q000191:economics*; D014481:United States