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Academy of Managed Care Pharmacy (AMCP) Releases Model Audit Guidelines for Pharmacy Claims
Date:1/13/2012

pharmacy practice, complaints included the MCOs' requirements of time and inflexibility in scheduling audits, as well as a lack of consistency of the audit and appeals process among MCOs. From MCOs, complaints included that pharmacies didn't respond to requests for audits or were not prepared for the audit, and a lack of understanding that audits can include the pharmacy's compliance with state and federal law.

The members of the taskforce learned from each other and respected diverse views. "This exercise showed that community pharmacy practice and managed care pharmacy can come together in a positive way and tackle tough issues," said April Shaughnessy, AMCP's Director of External Affairs, who served as project staff liaison.   

The document is available online at www.amcp.org/audit.

About AMCP

The Academy of Managed Care Pharmacy (AMCP) is a national professional association of pharmacists and other health care practitioners who serve society by the application of sound medication management principles and strategies to improve health care for all. The Academy's more than 6,000 members develop and provide a diversified range of clinical, educational and business management services and strategies on behalf of the more than 200 million Americans covered by a managed care pharmacy benefit. For more information, visit www.amcp.org


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SOURCE Academy of Managed Care Pharmacy
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